Registration Form

EDUCATIONAL DETAILS

Class	Board/ University	Year	Subject	Division	Percentage%
10th
12th
Gradution
Other

Hostel:

Yes No

Category of Hostel Room:

2 Seater 3 Seater 4 Seater

Postal Address:

District:

State:

Place:

MobileNo.:

Guardian's Contact No.:

Date:

Email ID:

Applicant's photo :

10th Class Markesheet :

I here by declare that the information provided in this application is true and accurate to best of my knowledge. I understand that any misrepresentation may result in the rejection of my application.

I here by declare that I am subjected to provide Original documents during admission process.