Application

Admission

First name:

Last name:

Email:

Phone :

Name with initials:

Name of parent/guardian:

Address:

Local Guardian address with Phone No. :

Nationality

Gender
Male Female Transgender

Date Of Birth

Community/Caste/Religion

Occupation & annual Income of parent

Name Of the College last studied

Qualifying Examination passed with Reg.No & Year of Passing

Aggregate % of marks obtained in the qualifying examination

Name of entrance examination with Score & Roll No
Merit Quota Management quota

Do you need Hostel Accommodation
Yes No

Do you need transportation to the college & back
Yes No