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Online Registration Form 2021

    1. Enter your name *

    2. Enter your parent/guardian name

    3(a). Enter your address of communication *

    3(b). Pincode*

    4(a). Phone Number

    4(b). Mobile Number *

    4(c). Email ID*

    5. Date of birth*

    6. Gender
    MaleFemaleTransgender

    7. Religion

    8. Mother Tongue

    9. Nationality
    IndianOther

    10. Choice of branches in the order of preference *
    (a):
    (b):

    11. Board of Examination*
    State BoardCBSEOthers

    12. Medium of study

    13. Name of the school

    14. 12th Registration Number *

    15. Month & Year of passing *

    16. Marks

    Subjects Marks Obtained
    12th Total Marks
    Physics
    Chemistry
    Mathematics
    Cut-off Marks#

    #(a) Marks in Maths to 50 (b) marks in Physics & Chemistry reduce 50 (c) Cut of Marks: (a)+(b)

    17. Parents Details

    Parent Details Office Contact Details
    Father:

    Name:

    Occupation:

    Annual Income:

    Phone Number

    Mobile Number

    Mother:

    Name:

    Occupation:

    Annual Income:

    Phone Number

    Mobile Number

    18. List the outstanding sports/cultural achievements, scholarships received, prizes/honors won etc.

    19. Height (cms)

    20. Weight (kgs)

    21. Blood Group

    22. Aadhar Card No

    23. Attachments
    (i). Copy of Transfer Certificate :
    (ii). Copy of 10th Marksheet :
    (iii). Copy of 12th Marksheet :
    (iv). Copy of Community Certificate :
    (v). Passportsize Photograph :

    Station

    Date

    Admission 2021 - 22