Apply Online Application Form For Admission Name of Applicant English Father’s Name Profession Mother’s Name Profession Father’s Mobile No. Category (SC/ST/OBC/ Other) Applicant Mobile No. Email Id Aadhar Number Postal Address (Permanent) Present Academic Records: Class with Faculty SelectSecondary (X) Year Board/School Div. Select1st2nd3rd Percentage Academic Records: Class with Faculty SelectSenior Secondary (XII) Year Board/School Div. Select1st2nd3rd Percentage Class with Faculty SelectB.A./B.Com/B.Sc. Pt I Year Board/University Div. Select1st2nd3rd Percentage Class with Faculty SelectB.A./B.Com/B.Sc. Pt II Year Board/University Div. Select1st2nd3rd Percentage Name, Year & Roll No. of last qualifying examination Name and address of last insinstitute Medium of X and XII Do you want (a) Hostel Accommodation ? Yes / No YesNo (b) Competition Classes ? Yes / No YesNo (c) Are you interested in college transport services ? Yes / No YesNo (i) BPL: YesNo (ii) Annual Income Preferred optional subjects Name of Motivator Student Signature Paste passport size photo bearing candidate’s signature Click Submit Button
