All fields are mandatory

Name of the Applicant

Address to which Communications to be sent (With Pincode)

Mobile Number

Name and Address of Parent/Guardian

Occupation of Parent/Guardian

Annual income of Parent/Guardian

Date of Birth (DD/MM/YYYY)

Nationality

Mother Tongue

Examination Passed with Year

Name of School/College last studied

Extra Curricular Activities ( If Any )

Total Marks in +2(HSC) / PDC / Intermediate

Attach Documents

Mark list of SSLC

Transfer Certificate

Community Certificate

Migration Certificate

Aadhar card of student

Mark list of HSC (+2)/PDC/Intermediate