Student Registration Form (2017-18)
*TO BE FILLED BY APPLICANT IN BLOCK LETTERS
First Name *
Your answer
Last Name *
Your answer
Father's Name *
Your answer
Mother's Name *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Marital Status *
Blood Group *
Your answer
Category *
Your answer
Current / Hostel / Residential Address *
*Fill With PIN-CODE
Your answer
Permanent / Parent Address *
*Fill With PIN-CODE
Your answer
Mobile Number *
Your answer
Parent Mobile Number *
Your answer
Residential / Hostel Phone Number *
Your answer
Email-Id *
Your answer
AADHAR Number *
Your answer
Bank Name *
Your answer
Bank Account Number *
Your answer
Bank IFSC Code *
Your answer
Occupation of Parents *
Your answer
Annual Income *
Your answer
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