UG FORM

PERSONAL DETAIL

Name Of Candidate*

Gender*

Date of Birth*

Program Name*

Religion*

Category*

Nationality*

Mobile No*

Email*

Aadhar*

Are you differently-Abled Person

Mother Tongue*

Will you require Hostel Accommodation

Are you daughter of Freedom Fighter

ADDRESS DETAIL

Permanent Address*

Communication Address*

Locality*

State*

City*

Pincode*

PARENT/ GUARDIAN INFORMATION

Mother Name*

Mother Occupation

Mother Mobile No

Father Name*

Father Occupation*

Father Mobile No*

ACADEMIC BACKGROUND

XII Detail

Name of the school

Board

Medium of Instruction

Marks Received

Overall CGPA/ Percentage

If GPA

If Percentage

X Detail

Name of the school

Board

Medium of Instruction

Marks Received

Overall CGPA/ Percentage

If GPA

If Percentage

Sports / Arts

Economically weaker section

NCC / NSS

Candidate Picture* ( File size should be below 100 KB )

Candidate Signature*

Candidate Aadhar Card*

X Marksheet*

XII Marksheet

Courses*

I Agree to the Terms and Conditions.