Online Registration Form

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:

Card Number:

Student Image Upload:

Academic details of Candidate:


High school

Board Name
School Name
Passing Year (yyyy)
Roll Number
Enrollment Number
Maximum Marks
Obtained Marks

Intermediate

Board Name
School Name
Passing Year (yyyy)
Roll Number
Enrollment Number
Maximum Marks
Obtained Marks