ADMISSION 2021 - 2022
PG ADMISSION ENQUIRY FORM

Name*

Father's Name *

Gender *

Date of Birth*

Community *

Door no/Flat no *

Street Name *

City/Town/Village *

District *

State *

Pin code *

Email ID*

Mobile Number 1(WhatsApp Number)*

Mobile Number 2

Percentage in 12th*

UNDERGRADUATE DETAILS

Institute Name*

Department Studied*

UG Percentage*

UG Passed out year*

DECLARATION *

FOR ADMISSION CONTACT : 9095100278, 9095100235