Form
Form
Application Number :
Self attested
Coloured
Programme Photograph
Interview Date
Interview Time
PERSONAL DETAILS
First Name : Middle Name (s) :
State :
PARENTS / GUARDIAN'S
Hindi
English
EDUCATION
Class Year of Passing Board School & Address Main Subjects % Marks
th
Class 10
th
Class 12
EXTRA-CURRICULAR ACTIVITIES
DECLARATION
We hereby declare that the information provided in this application is exact and complete. We ackno wledge having read and
understood this document, the current academic catalogue, as well as the payment terms and conditio ns. If at any stage it is found that
we do not satisfy the admission criteria or the information furnished by us in this application is incorrect, our application for
admission to the course will stand cancelled, in this event of securing admission for our ward. We agree to abid e by all relevant Rules
& Regulations of the Institute.
Student’s Signature