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
Councelling Number (if applied)
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