Online Application

1. Name of Course:
2. Image:	Maximum image size is 100Kb
3. Name of Applicant ( Block Letters )
4. Father's Name
5. Mother's Name
6. Permanent Address with Pincode
7. Date of Birth
8. Gender	Male Female Others
9. Category
10. Details of Qualifying Examination
11. Mobile No.
12. Email.
13. Adhar No.
DECLARATION
I assure that the particulars furnished above are true to be best of my knowledge and that I shall abide by the rules and regulations of the institution and I shall pay the dues on the dates specified. Also I do not claim or demand any refund of the amount paid to the institution in connection with my admission even though I withdraw my candidature.