Registration FORM - Session 2021-22

 

   
  Course*:   Select Sem / Year *:
       
  Select Subject Group *:    Full Name (Last Exam Passout):*
   Father's Name (Last Exam Passout):*    Mother's Name :*
   Date of Birth:*    Marital Status :*
   Category:*    Address:*
   Religion:*    State:*
       
   City: *    Pincode:
   Email: *    Student's WhatsApp No:*
       
   Parant's Phone No:*    Last Exam Subject *
       
   Last Exam Qualify / Running *    Last Exam Roll. No.*
       
   Medium *    Passport Size Photo *  
   Name of Last School / College attended .*
 College Hostel facility required*