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Admission Form

1. Registration Details / पंजीयन का विवरण * अनिवार्य फिल्डस (Mandatory fields)
Roll No.
(रोल न०) *
( Please Note This Roll No. For Student Login Your Roll No. is Your Login User ID )
Course Applied for
(पाठ्यक्रम के लिए आवेदन) *
Applicant's full name / आवेदक का पूरा नाम *  
( Full name as per the highest / latest qualification certificate or legal certificate)
Father's Name / पिता का नाम *  
( Full Name As Per Educational/Legal Certificate )
Mother's Name / माता का नाम *  
( Full Name As Per Educational/Legal Certificate )
Date of Birth / जन्म दिनांक * (mm-dd-yyyy)  
( As per high school certificate in 'dd-Mon-yyyy' format. i.e. '01-Jan-1990' )
(लिंग) *
Mobile No.
(मोबाइल नंबर)*
Guardian Mobile No.
(संरक्षक मोबाइल नंबर)*
Email ID
(ईमेल आईडी)*
Addhar no
(आधार नंबर)*
Present Address
(स्थाई पता)*
Permanent Address
(अस्थाई पता)*
Applied For
(आवेदन) *
Passport Photo *  
Exam. Passed Board/University School/College Name Year Total Mark Secured Mark Marks (%)
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