SRSMT - Scholarship Test for Engineering Entrance 2019
Registration Form (Last date of Registration - 25th April 2019)

All participants will be given Participation Gifts

Registration Fee for Scholarship Test - Rs 50

For Online Payment -
Shri Ram Swarup Memorial Trust, YES BANK, Ambala Cantt
A/c No. 012094600000059, IFSC Code YESB0000120

Fees may also be deposited in the College on the day of Examination

for more details visit: www.ambalacollege.com, www.facebook.com/ambalacollege

* Scholarship Test for10+2 Medical/Non Medical/DIPLOMA (2019 Passing Batch only)

Free Bus Facility from Ambala City, Ambala Cantt, Shahbad (M), Naraingarh, Shahzadpur, Barara, Dosarka, Saha, Mithapur is available to reach the venue on the day of Exam.

Email address *
Applicant's Name *
Father's Name *
Mother's Name *
Mobile Number *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Cast/ Category *
Address *
State *
District *
Pincode
Class *
10+2/Diploma Passing year *
Roll Number (CBSE/State Board/Diploma) *
Name of School/Polytechnic *
Aadhaar Card Number *
Fee Paid *
Online Payment Transaction No. *
Applicant's Photograph *
Required
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