Online Application System

PERSONAL INFORMATION

First Name	*	Last Name	*
Father's Name	*	Mother's Name	*
Gender	MALE FEMALE *	Birth Date	*
Address For Correspondence
Line 1	*	Line 2	*
Pincode	*	City	*
District	*	Telephone Number
Permanent address (√ if Same as Address for correspondence)
Line 1	*	Line 2	*
Pincode	*	City	*
District	*	Telephone Number
Mobile Number	*	Email ID	*
Father's Occupation	*	Annual Income	*
Category	*	Marital Status	MARRIED UNMARRIED *
Religion	*	Caste	*
SUB CASTE	*	Disability	YES NO *
Nationality	*	Blood Group
Aadhar Card

PHOTO

CHOOSE AN OPTION

YES, I WANT TO UPLOAD PHOTO.
NO, I DON'T WANT TO UPLOAD PHOTO RIGHT NOW.

Upload Your Latest photo	*
Photo size should not be grater than 1024×768 pixel and not exceed then 300kb.

FOR STUDENTS COMING FROM OTHER STATES AND ABROAD

Name of the country

*

Nationality

*

	R.P. Number	Date of Issue	Date of Expire	Place of Issue
PASSPORT	*	*	*	*
VISA	*	*	*	*