Academic Details
Whether availing First Graduate Concession. If yes,
certificate must be enclosed(Goverment Quota Candidates
only).
11th Standard
Board
Name of the School
| Subject Name | Month/Year of Passing | Marks Scored | Maximum Marks |
|---|---|---|---|
| - | - | - | - |
Total
Average
12th Standard
Board
Name of the School
| Subject Name | Month/Year of Passing | Marks Scored | Maximum Marks |
|---|---|---|---|
| - | - | - | - |
Total
Average
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App No : 2020-0551
Date:13/04/21
ADMISSION FORM
APPLICANT DETAILS
Course Applied for :
Applicant's Name :
Gender :
Blood Group :
Date of Birth :
Age :
Affix passport size photo of the student
Mother Tongue :
Caste :
Community :
Religion :
Physically Challenged :
PARENT/GAURDIAN DETAILS
Father's Name :
Father's Occupation :
Mother's Name :
Mother's Occupation :
Gaurdian's Name :
Gaurdian's Occupation :
Father/Guardian's Annual Income : ₹
CONTACT DETAILS
Nationality :
Native Place :
Phone :
Email :
Permanent Address :
Communication Address :
State :
ACADEMIC DETAILS - SECTION A
Whether availing First Graduate Concession. If yes, certificate
must be enclosed(Goverment Quota Candidates only).
11th Standard
Board :
School Name :
| Subjects | Month/Year of Passing | Marks Obtained | Maximum Marks |
|---|
Total : Average :
ACADEMIC DETAILS - SECTION B
12th Standard
Board :
School Name :
| Subjects | Month/Year of Passing | Marks Obtained | Maximum Marks |
|---|
Total : Average :
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