Admission/Registration Form

           
 

 

           

Admission Form

                 
  Session   Faculity/Acadamy      
  Kiosk   Program Name      
  Prospectus
No
  Year      
  Offline Branch Code   University/Scheme      
        Preffered Course Medium      

 

Please fill the details as per your 10th Marksheet

           
  First Name   Last Name      
  Father name   Mother Name
  D.O.B. Email      
  Mobile No.   Fax      

 

Peramanent Address

             
  Address   City      
  Pin   State      
  Telephone   District      
 

Correspondance Address

             
  Address   City      
  Pin   State      
  Telephone   District      
                 
  Sex   Martial Status      
  Catagory   Physical Handicapped      
  License Type   Driving License No.      
  Adhar Card No.            

  Educational              
  Academic Qualification   Main Subject      
  Year of Passing   Division * (1,2,3,4 for Pass)      
  % of Marks   Board *      
  Education Medium            

  Other              
  Nationality   Religion      
  Belongs to   Whether Minority      
  Social Status   Whether Kashmiri Migrant      
  Whether Person with
Disability *
  Nature Disability      
  Employement Status   Dept. Offering Scholar      
  Annual Scholarship Amount   Family Income (Yearly)      
  Below Poverty Line   Government Employee      
                 
  Payment            
  Bank Name            
  Chk.DD No.            
  Dated