Form Fillup For Program Course

  Sunday, 22 Dec 2024
PERSONAL PART
Name  
Date of Birth
*
Attach Your Passport Size Photo

Not more than 50kb
Nationality    
Religion  
Minority
Gender
Caste  
Physically Handicapped Challenged Category
Blood Group
Mobile No.(10 Digit)
Email ID
Father's Name
Mother's Name  
Gurdian's Qualification
Guardian's Name
Guardian's Occupation
Monthly Family Income
Relation with Guardian
Present Address
House No/Street
Ward No
Vill/Town
P.O.    
Block    
Police Station (P.S.)    
District    
State    
PIN    
 
Permanent Address
House No/Street
Ward No
Vill/Town
P.O.    
Block    
Police Station (P.S.)    
District    
State    
PIN    
Marital Status
Spouse Name
Economically Challenged Category
Aadhar card No.
ACADEMIC PART
Qualifying Exam
Division
Registration No.
 M.P/Equivalent Roll M.P/Equivalent No./Index No.
M.P Grade  
Year of Passing
Name of the Board             Migration
Name of the School
 
 Statement of marks obtained in the M.P./Equivalent Examination
Please Select Subject Marks Obtained Full Marks Theory
EnglishCompulsoy
 Compulsory
 
 
 
 
 
 
Total Marks Percentage
 
APPLICATION PART
Applicant may choose Elective Subject(s) as per his/her choice. But finally the said subject(s) will be offered to him/her on availability or eligibility at the time of admission.
Srl. No.StreamElective 1Elective 2Elective 3Group (A)Group (B)AdditionalMerit Marks
1
Please confirm Date of Birth then submit your Application Form.