Registration FORM - Session 2021-22

Courses*:   Select Sem / Year *:
   
Select Subject Group *:    Full Name (Last Exam Passout):*
 Father's Name (Last Exam Passout):*    Mother's Name :*
Birth Place:*   Blood Group:*
     
 Date of Birth:*    Marital Status :*
Nationality:*   Adhaar Number:*
 
 Category:*    Address:*
 Religion:*    State:*
     
 City: *    Pincode:
 Email: *    Student's WhatsApp No:*
     
 Parent's Phone No:*    Last Exam Subject *
 Subject : Previous Exam Passed *    Last Exam E.No.*
     
 Medium *    Passport Size Photo *  
 Extra Curriculam Activity.*  College Hostel facility required*