ACADMiN

Gender *

Category *

Date Of Birth *

Full Name (In Devnagri Form) *

Father's First Name *

Mother's First Name *

Is Middle Name Applicable? :

Is Surname/Last Name Applicable?

CORRESPONDENCE ADDRESS
FOR ALL COMMUNICATION RELATED TO YOUR ADMISSION

Address 1* :

Address 2* :

City*:

Pin No*:

Country*:

PERMANENT ADDRESS
SAME AS CORRESPONDENCE ADDRESS

Address 1*:

Address 2*:

City*:

Pin No*:

Country*:

Do you suffer from any chronic ailment or disability*:

Have you ever been suspended, dismissed or put on academic probation or warning at any school or college?*:

Aadhaar Card No*: