ADMISSION 2021 - 2022
UG ADMISSION ENQUIRY FORM

Name *

Father's Name  *

Gender  *

Date of Birth *

Community *

Are you first graduate ? *

Door no/Flat no *

Street Name *

City/Town/Village *

District *

State *

Pin code *

Email ID *

Aadhar Number *

Mobile Number 1(WhatsApp Number) *

Mobile Number 2

HSC ACADEMIC DETAILS

School Name *

Group Studied *

Mark in 10th *

Mark in 11th *

12th year of passing *

Register Number (12th) *

Mark in 12th

Mathematics mark (12th)

Physics mark (12th)

Chemistry mark (12th)

Biology / Computer Science mark (12th)

Department Preference *

Preference:1 

Preference:2 

Preference:3 

DECLARATION *

FOR ADMISSION CONTACT : 9095100278, 9095100235