Date : |
Form No. |
Enrollment No. |
Armiet Pin : |
Full Name * | Application Id (as per Cap Letter) *: |
Form Id : |
Gender: |
Nationality * : |
|
Marital Status : |
Religion : |
CAP *: Caste *:
|
Sub-Caste *:
|
Date of Birth : |
Permanent Address *: |
Address for Correspondence *: |
|
Mother Tongue *: |
Place of Birth *: |
Mobile No. *: |
Email ID *: |
Domicile (State): | Hostel Required? *: |
Physical Disability?: |
Applying Category : |
PARENTS DETAILS |
TOTAL FAMILY INCOME : |
TOTAL FAMILY MEMBERS : |
|
|
FATHERS DETAILS |
Name : |
Mobile No. |
Email Id: |
Occupation : |
MOTHERS DETAILS |
Name : |
Mobile No. |
Email Id: |
Occupation : |
EDUCATIONAL DETAILS |
|
UPLOAD DOCUMENTS |
SSC or Equivalent Statement of Marks Upload Scanned copy of original document only * |
SSC or equivalent Certificate Upload Scanned copy of original document only |
HSC or Equivalent Statement of Marks Upload Scanned copy of original document only |
HSC or equivalent Certificate Upload Scanned copy of original document only |
ITI or Equivalent Statement of Marks Upload Scanned copy of original document only |
ITI or equivalent Certificate Upload Scanned copy of original document only |
School Leaving Certificate / Transfer Certificate Upload Scanned copy of original document only |
Caste Validity (For Reservation Upload Scanned copy of original document only |
Caste Certificate (If Applicable) Upload Scanned copy of original document only |
Migration Certificate Upload Scanned copy of original document only |
Domicile Certificate Upload Scanned copy of original document only |
Income Certificate Upload Scanned copy of original document only |
Lingusitic Affidavit Upload Scanned copy of original document only |
Aadhar Card Upload Scanned copy of original document only * |
Address Proof Upload Scanned copy of original document only |
Bank Details of Student linked with Aadhar card (If Available) |
Bank Name : |
Account Number : |
Branch : |
IFSC : |
MICR : |
|
DECLARATION |
I hereby declare and confirm that the above information is true and accurate. I am completely aware that, If at anytime the information is found to be false or incorrect, my admission will be canceled, fees forfeited and I will be expelled from the institute. |
Date: 11/6/2024 | |
Payment Method |
|
|