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Online Registration Form

  Tuesday, 19 Sep 2017
PERSONAL DETAILS
Student Type    
Name(As per HS Certificate)      
Date of Birth
Nationality    
Religion    
Minority  
Gender  
Caste     Sub Caste  
Caste Certificate No.
Physically Handicapped   Certificate No.
Blood Group
Applicant's Contact No.    
Aadhar Card No.
Father's Name    
Father's Qualification
Father's Other Qualification
Father's Occupation  
Full Address
 
Pin Code  
Police Station (P.S.)
Mother's Name  
Mother's Qualification
Mother's Other Qualification
Mother's Occupation  
Guardian's Name       
 
Relation with Guardian  
Guardian's Qualification
Guardian's Occupation
Guardian's Contact No.
Marital Status
Spouse Name  
Anual Income of the Family    
Whether Belongs To    
Card No.    
Are you interest to join NCC/NSS?    
Do you want to avail Rail Concession?    
Nearest Railway station    
E-mail address    
Marks In Math(M.P)    
ACADEMIC DETAILS
H.S/Equivalent Roll No.  
H.S Registration No.  
Year of Passing  
Name of the Council/Board  
Migration     .
Name of the School last attended  
 
Statement of marks obtained in the H.S./Equivalent Examination * Do not enter the marks of Environmental Studies
* Enter the Marks of Failed Subject in the Last Box
Subject Full Marks (Theo) Full Marks (Prac/Oral/Project) Marks Obtained (Theo) Marks Obtained (Prac/Oral/Project) Total Marks Obtained
Compulsory          0 to 100
English Compulsory           0 to 100
           0 to 100
           0 to 100
         0 to 100
           0 to 100
       
 
Please Confirm All Information Given By You Then Submit It.