Admission Form : * indicates mandatory Field
Academics Name * : Course Name* :
Course Code * :
Personal Information
Full Name * :
Father's Name * :
Mother's Name * :
Date of Birth : Nationality :
Religion * : Category * : Sex :
Postal Address :
Permanent Address *:
Dist : Pin No * :
Contacat No (with STD) : Mobile No * :
Educational Information
Sl No Exam /Course Board/University  College / Institue Year % of Marks
Declaration : I acknowledge to have fully read the prospectus and certify that i have understood all the provision indicated there in I certify that i am qualified for the program as indicated in the prospectus. I understand that my admission is liable to be cancelled if i suppress or distort any information famished in my application. I understand fee once paid will not be refunded. I will maintain all the rules & regulation of this institute.'