Name of the Candidate (as given in the degree certificates / SSLC) *

Religion*

Caste Name*

Caste Group (As per caste certificate)
(General/SC/ST/OBC/MBC/BC etc)*

Blood Group*

Aadhar Number*

Name of Father*

Occupation of Father*

Name of Mother*

Occupation of Mother*

Nationality*

Address for Communication*

Parent's Mobile Number *

Note:

The students those who are awaitng for the Board Examination results, kindly update the marks in the same application form after the declaration of the result

Self Declaration:

The above details furnished are true to my knowledge and I am responsible for any discrepancy if found and thier consequences.

Place*

Passport Size Photo*
size: 200px X 200px (W X H)- formats (PNG, JPEG, JPG)