Application Form

Course applied for : *

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Personal Details (Block Letters Please)

Name :

Lastname :

Gender :

Date of Birth : *

Nationality :

Religion :

Details Of Guardian (Block Letters Please)

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Permanent Address

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Email ID : *

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Academic Qualification

Class X Level

Board :

Year Of Passing :

Marks (%) :

Class XII Level

Board :

Year Of Passing :

Marks (%) :

Any Other

Board :

Year Of Passing :

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DECLARATION : I declare that the information given above is correct to the best of my knowledge. After carefully going through the entire content of the prospectus and fees structure, I agree to abide by the terms and conditions imposed for taking admission in the aforesaid course