STUDENT REGISTRATION FORM  
  Form to be Filled by Candidate in Capital Letter in English  
     
 
  *    
  Type of Course  
1. Name of Candidate *
2. A. Father's Name *
2. B Mother's Name
3.    
4. A. Permanent Address (with pin code) *
4. B. Temporary Address (with pin code) *
5. A. Tel No.(with STD code)
5. B. Mobile No. *
5.C Email
6. Gender* Male       Female
7. Category

8. A Nationality :Indian Yes       No
8. B Origional Resident
10. Details of Academic Qualification *  
Exam Board/University School Name Passing Year Certificate/
Enrollment No.
Marksheet
Roll No.
Maximum
Marks

Obtained Marks

High School
Intermediate
Graduate
Total          
Note :  
12. A Photo with Signature(Size 15 KB Max, JPG./GIF format only *
Submit your Application Form