Previous School Name* |
: |
|
Standard* |
: |
|
Board* |
: |
|
Nationality* |
: |
|
Caste & Religion* |
: |
|
SC/ST* |
: |
|
Residential Address |
: |
|
City * |
: |
|
PIN* |
: |
|
State* |
: |
|
Country* |
: |
|
Tel. No. (Res.) |
: |
|
Father's Mobile (Optional)* |
: |
|
Mother's Mobile (Optional)* |
: |
|
EMail for Correspondence* |
: |
|
last Academic report
.Pdf or .jpg only
should not exceed 5 MB |
: |
|
Birth Certificate
.Pdf or .jpg only
should not exceed 5 MB |
: |
|
Passport Size Photo .png or .jpg only
should not exceed 5 MB |
: |
|
|
|
|
|
|
|
|