Student Application Form

Personal Details :

Student Name:

Father's Name:

Mother's Name:

Date of Birth:

Contact Number:

Email ID:

required class=

Gender: Male Female Other

Address:

High School Name:

Percentage:

Year of Completion:

Pre-University Name:

Percentage:

Year of Completion:

Course opted in PUC:

Upload SSLC Certificate:

Upload 2nd PUC Certificate:

Upload Caste Certificate:

Upload Transfer Certificate:

Other Activity Certificates:

Letter of Undertaking:

I declare that the above information is true and trustable.