Admission Form 2021-2022

(SESSION 2021-2022)

Instructions :

Please read Information Brochure carefully before filling each items of Application Form.
No column should be left blank, write N.A. if not applicable.

Enter Your Valid Roll No

Enter Your Rank

Enter Your Valid Roll No
Personal Information
Proper format "id@anymail.com"
Proper format "id@anymail.com"
Proper format "id@anymail.com"
Permanent Address
Postal Address
Educational Qualification
Board Name

Marks Obtained

Maximum Marks

Total % age

Your Division
Board Name

Marks Obtained

Maximum Marks

Total % age

Your Division
University Name

Marks Obtained

Maximum Marks

Total % age

Your Division
University Name

Marks Obtained

Maximum Marks

Total % age

Your Division
University Name

Marks Obtained

Maximum Marks

Total % age

Your Division
Upload Document (12th/B.Tech/Graduation/Diploma marksheet):
(.jpeg/.jpg/.png/.pdf format file) (Max Size - 1 MB)
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Date: 20.09.2021
Declaration: Certified that all entries in this form are correct.