Student Enrolment Form
Email address *
Register No (Hall Ticket No) *
Name *
As per PUC Marks Card (In Capital Letters)
Father's/Parents Name *
(In Capital Letters)
Mother's Name *
(In Capital Letters)
DOB (SSLC Marks Card) *
MM
/
DD
/
YYYY
Permanent Address *
Local Address *
Religion *
Caste *
Category *
Candidate Mobile No *
Whatsapp No *
Facebook Account ID
Parents Mobile No *
Aadhar No *
Bank Name *
Branch Name *
Bank Account No *
IFSC Code *
E-mail ID *
Photo
Submit
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