Student Name

Student Photo: *

Date

Session

Date Of Birth

Gender

Father's Name

Father's Mobile

Mother's Name

Religion

Caste

Category

Address

City

State

Email Id

First Preference :

College Name

Course Name

Branch Name

Bank Detail :

Account Holder Name

Account No

Branch Name

IFSC Code

AdharCard : *

Domicial Certificate*

XII Result:*

Caste : *

Enterance Exam*

X Result:*

Other Preference :

College Name

Course Name

Branch Name

Roll No. Of Last Exam

10th(%)

Result is Awaited

12th/Diploma/Graduation(%)

Result is Awaited

School / College Name

PCM/PCB(%) (For UG)

Appeared In Any Entrance Exam
Yes No

College Transfer

Is Lateral Entry

Application For :

Hostel Bus

Remarks

Counselor Reference

Student Mobile

OTP

Note:
1. Confirm Seat Allotment is Subject to Online Counseling & DTE Rule for Admission in session 2023-2024.
2. Aadhar Card, Student's Bank Details, Permanent Cast Certificate, Income Certificate, Domicile Certificate, TC & CC is Mandatory to Submit to the time of Seat Confirmation.
3. Cancellation Charge (Before Seat Confirmation).

Student Signature: *

Admission Registration