|
Course
|
*
|
UIN Number
|
*
(UIN Number should be valid 10 digit number)
|
Subject
|
*
|
|
|
Applicant's Name
|
*
(As per High School Marksheet Record)
|
Father's Name
|
*
(As per High School Marksheet Record. Do not use any prefix like
Mr., Dr. Sri etc)
|
Mother's Name
|
*
(As per High School Marksheet Record. Do not use any prefix like
Mrs., Dr. Smt etc)
|
Date of Birth (DD/MM/YYYY)
|
*
*
*
(As per High School Marksheet Record)
|
Postal Address
|
*
|
|
|
City
|
*
|
State
|
*
|
Pin Code
|
*
|
Email Address
|
*
(Email should be valid and active)
|
Gender
|
|
Category
|
*
|
Mobile No
|
*
(Mobile No should be valid and active)
|
Aadhar No
|
|
Blood Group
|
|
|
|
Details of Examination Passed
NOTE :
1. CGPA must be convert into marks. 2. Candidate should
calculate their percentage with all the subjects and not with best 4 OR 5.
|
|
Father's Guardian's Information
|
Occupation
|
*
|
Designation
|
|
Office Address
|
|
Contact No
|
*
|
Payment Type
|
|
Total Fee:
|
*
|
|
|
|
|