Bootstrap Popup Email Form

FILL THE APPLICATION FORM

Name (SSLC certificate) *

Nationality *

Gender *
Male Female

Marital Status *
Single Married

Date of Birth *

Aadhaar Number

Mobile*

Mailing Address *

Pincode *

Tel (home)

Tel ( Office )

Email Id*

B. PARENT’S / GUARDIAN’S PARTICULARS

Father’s Name*

Occupation*

Mother’s Name*

Occupation*

Guardian’s Name*

Occupation*

Parent’s / Guardian’s Permanent Home Address: *

Pincode *

Tel (home)

Tel ( Office )

Email Id*

Mobile*

Upload SSLC* Upload sslc

Upload PUC* Upload puc

Make payment of Rs. 500/- and submit

D. DECLARATION BY THE APPLICANT

I declare that all the information given by me in this application form is true and correct. I understand that I will not be admitted or my admission is liable to be cancelled or withheld if I do not fulfill all the requirements of registration, payment of requisite fee including my yearly academic performance.

E.DECLARATION BY THE PARENT/GUARDIAN

I do solemnly affirm that I/We shall be responsible for the discipline and conduct of my son/daughter/ candidate/ward and I will pay regularly all fees dues to the Institute in time during his/her course duration.

FILL THE APPLICATION FORM

B. PARENT’S / GUARDIAN’S PARTICULARS

Make payment of Rs. 500/- and submit

D. DECLARATION BY THE APPLICANT

E.DECLARATION BY THE PARENT/GUARDIAN

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