Application Form for Online Admission
Your Full Name (*)
Your (10+2) Stream (*)
Caste
Gender
Your Academic Details

Subjects
Your Marks in 10+2 level
Full Marks
Pass Marks
Your Marks
% of Marks

Aggregate in HS (10+2)
Best 4 %

Select Your Preferred Courses
Stream
Honours / General
Courses Available (*)
Compulsory Language
Have you studied and cleared these languages at the HS/Equivalent Class 12
or Madhyamik/Equivalent (Class 10) level?
Your Personal Details
Your Date of Birth (*)
Religion
Ration Card Category
Whether First Generation Learner
Your qualifying examination
Passing Year of HS or 10+2 level
Select a Board (HS or 10+2 level )
10+2 School Name
HS or 10+2 level Roll No (*)
Nearest Railway Station
Residential Address (*)
Permanent Address (*)
Check this box if Permanent Address and ResidentialAddress are same.

The candidates are requested to furnish valid contact information, which should be retained during the admission period


Email
Phone Number
Mobile (*)
Nationality
Indian
Others
State (if within India)
Whether single girls child ?
Yes
No
Do you want to apply in Sportsman Category?
Yes
No
Person with Disability (40% & Above)
Yes
No
Blood Group
Father's Name
Mother's Name
Guardian's Name (*)
Check this box if Guardian's Name and Father's Name are the same.
Guardian's Annual Income
Guardian's Occupation
Guardian's Phone No.
Check this box if Guardian's phone and your phone are the same.
Marital Status
Minority Community
Specify Minority Community

Madhyamik Detail

Name of Madhyamik Examination
Name of Madhyamik Board
Country where board is situated
State where board is situated
Year of Passing
Class/ Div/ Grade
Marks obtained
Total Marks
Marks (%)
10th Std. Subjects
Regd No
Regd Year
Roll No.
Upload Your Photo (*)
Your Picture