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Admission Form Session 2020-21



*All fields are required

Select Course

Name of Student

Date of Birth

Gender

Age

Category

Blood Group

Mobile No.

Email ID


Parental Information


Father's Name

Father's Occupation

Father's Annual income

Fathers's Mobile No.

Local Address

City

Permanent Address

City


Local Guardian Details


Name

Address

Mobile No.

Phone No.


Qualifying Examination Details


10th Marksheet

10+2 Marksheet


Required


Hostel Facility

Transportation

Declaration

I hereby affirm that the information given above is true to the best of my knowledge and belief. I shall be solely responsible for the consequences arising from any of the information above found false.

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