Registration Form

Country

You are from Country *

COURSE APPLIED FOR

Batch *

PERSONAL DETAILS

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(.jpg, .png or .pdf format)

Name *

Gender *

Father's Name *

Date of Birth (DD-MM-YY) *

Mother's Name *

Personal Contact Number *

Email *

Parents Contact Number *

Issue Date *

Valid Up to *

Permanent Address *

Country *

City

Pincode *

Check this box if Permanent Address and Correspondence Address are the same

Correspondence Address *

Country. *

State. *

City.

Pincode. *

LAST QUALIFYING DETAIL

Detail of Last Qualifying Exam: *

Course (Specialization)	BOARD/UNIVERSITY	COLLEGE/INSTITUTE	YEAR	%

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Detail of Entrance Examination, if any :

Roll No	NAME OF EXAMINATION	YEAR/ SESSION	MERIT/ SECURED

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Detail of Enrollment with other Universities:

NAME OF UNIVERSITY	ENROLLMENT No	COURSE FOR WHICH ENROLLED

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ADD-ON FACILITIES

Hostel Facility *

Transport Facility *

The information provided by me is correct and true. In case any information is found incorrect/misleading at any state, the University may cancel my registration/enrollment without any claim from my side

Other Details

Registration fee *

Type Verification Code