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(* marked fields are required)

 

 Personal Details:-

Course Name *(YEAR - 2022-24)
:
 
FEE
:
As per State Govt. order
 
Student Name *
:
 
Father's Name *
:
 
Gender *
:
 
Date of Birth *
:
 
Reserved Category *
:
 
Sub Category *
:
 

 Contact Details:-

Mobile No *
:
 
EmailID *
:
 
State *
:
 
District *
:
 
Pin Code *
:
 
Address *
:
 
Upload Your PassPort size Photograph *
:
PHOTO size less than 1MB & jpg/jpeg/png format only
 
Upload Your Signature *
:
Signature size less than 1MB & jpg/jpeg/png format only
 

 Upload Cerificates:-

Upload Your SSC Cerificate *
:
Cerificate size less than 1MB & jpg/jpeg/png format only
 
Upload Your Intermediate Cerificate *
:
Cerificates size less than 1MB & jpg/jpeg/png format only
 
Upload Your Graduation Cerificate *
:
Cerificates size less than 1MB & jpg/jpeg/png format only
 
Upload Your TC (Tranfer Certificate) *
:
Cerificates size less than 1MB & jpg/jpeg/png format only
 
I hereby declare that the information submitted in this application is true and correct to the best of my knowledge and belief.