STUDENT REGISTRATION FORM  
  Form to be Filled by Candidate in Capital Letter in English  
     
 
  *    
  Type of Course  
  Course *
1. Name of Candidate *
2. Father's Name *
3. Mother's Name
4. a Mobile No. *
b Alternate No. *
5. a Email
b Parents Contact No
6. *    
6. Gender*
7. Category

8. a Religion
b CAST
9. a Correspondence Address *
b Permanent Address *
Details of Academic Qualification *  
S.No Exam Passed Roll No. Board/University Passing Year Subjects Maximum
Marks

Obtained
Marks
1. High School
2. Intermediate
3. Graduate
4. Post Graduate
6. Other
Total          
Note :  
10. Aadhar No*
11. Cast Certificate*
12. Income Certificate No*
13. Domicile No*
 
Photo with Signature(Size 15 KB Max, JPG./GIF format only *
Submit your Application Form