ONLINE REGISTRATION FORM

CANDIDATE DETAILS

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1. Mandatory fields are marked with asterisk (*) symbol.
2. Registration does not guarantee admission.Admission depends up on the availability of seats.
3. You will be issued with a Registration Identification Number by mail immediately after registration.
4. An online registration fees need to be paid either by online or at institution for completing the registration process.
5. Furnish the details of challan in the prescribed columns in the application form.
6. You will be notified by SMS and/or Email once your application is verified and accepted.
7. Candidates are advised to fill carefully and verify the details filled in the online application themselves as no changes are allowed after submission of the online application

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(as on 01-06-2020)
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ACADEMIC AND REGISTRATION

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First Option *
Second Option
Third Option
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EXAM DETAILS

Subjects Marks Obtained Max Marks
English
Second Language
Total
Percentage of total
Event
Participation Level
Achievements

FAMILY DETAILS

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* Temporary Registration details will be sent to this Email Address
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OTP VERIFICATION

STUDENT DETAILS VERIFICATION

CANDIDATE DETAILS

Profile Image :
Aadhar Number : First Name : Middle Name :
Last Name : Gender : Date Of Birth :
Age : Country : Nationality :
State : District : Mother Tongue :
Religion : Caste : Community :
Blood Group : Birth Country : Birth Place :
Personal Mobile No. : Email Id :

ACADEMIC AND REGISTRATION DETAILS

Academic Year : Course Preference
First Option
Second Option
Third Option
Date Of Application : Seat Category: : Reserved Category :
University Online Registration No :

HSC Details

Name of Institution : Name of Board : Month/year of passing :
Registration No. :
Total Percentage :

Degree Details

Name of Institution : Name of Board : Month/year of passing :
Registration No. :
Total Percentage :

Extracurricular Activities

Event : Participation Level : Achievements :

FAMILY DETAILS

Father Name : Annual Income : Profession :
Mother Name : Annual Income : Profession :
COMMUNICATION ADDRESS
Comm. Address : Comm.Zip Code : Comm. Phone No. :
Father's Mobile No. : Father's Email Id : Mother's Mobile No. :
Mother's Email Id :
PERMANENT ADDRESS
Permanent Address : Permanent Zip Code :
LOCAL CONTACT ADDRESS(IF NOT STAYING WITH PARENTS)
Name : Relationship : Profession :
Address : Mobile Number : Email ID :
Instructions:
1.Online Registration is only completed on Payment if applicable.
2.Auto filled Registration form will be sent to communication email id as attachment.
3.Link for online payment can be found in the acknowledgement email send to the email
Enter Verification Code :