Name of Applicant
आवेदिका का नाम*

 
Father's Name / Husband's Name
पिता / पत्ति का नाम*

 
Mother's Name
माता का नाम*

 
Date of Birth
जन्म दिनांक*

House No. / Street / Colony
मकान नम्बर /गली /कालोनी*

 
City / Village
शहर / गांव*

 
Tehsil / Post
तहसील / पोस्ट*

 
District
जिला*

 
State
राज्य*

 
Pin Code
पिन कोड*

 
Phone with STD Code
फोन नम्बर

Mobile No.
मोबाइल नम्बर
Category
मुख्य श्रेणी*
Physically handicaped
Nationality
नागरिकता*

 
Mother Tongue
मातृ भाषा*

 
Father Occupation
व्यवसाय*

 
 Annual Income of the Parents
 वार्षिक आय

 Pay Income Tax
 आयकर दाता*

 Aadhar No          
  Bank Account No.

 Bank Name          

  Bank IFSC Code

   Admission Application for*
   

DETAILS OF LAST QUALIFYING EXAMINATION
Exam Name Name of Board/ University Year Subject Max. Marks Obtained Grade Percentage
   Secondary *          
   Sen. Secondary *            

DETAILS OF SUBJECTS OFFERED
  Faculty / संकाय *
  
       (Select Any Three Group)
  
   Compulsory Subject / अनिवार्य विषय    English / Hindi

ATTACHMENTS
  Photo Upload / फोटो अपलोड*   (JPG,JPEG,GIF,PNG image with Size less than 200KB)
 
  Signature Upload / हस्ताक्षर अपलोड*    (JPG,JPEG,GIF,PNG image with Size less than 200KB)
 
DISCLAIMER / घोषणा
i hereby declare that all information made in this application are true , complete and correct to the best of my knowledge and belief in the event of my information bring found false or incorrect being detected befor or after the addmission in college, action can be taken against me by the college.

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