Online Registration Form

Name:

Father's Name:

Contact No

DOB(According to High School certificate):

   

Permanent Address (With Thana & Pin Code):

Mailing Address with (Thana & Pincode):

Gender :

Category:

Disability? :

Special Reservation:

Stream:

Type of ID Card:

Id Card Number:

Image Upload:

Enter Value:

Academic details of Candidate:

Exam
Board
Name
School
Name
Passing Year
(yyyy)
Roll Number Enrollment
Number
Maximum
Marks
Obtained
Marks
% two place
of decimal
High school
Intermediate