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ONLINE ADMISSION APPLICATION FORM
(All Fields are Mandatory)
Name of the Candidate
Ex.: Anu Priya S
Father's Name
Roll Number
HSC Roll No.
Guardian Name
Date of Birth
Ex:21-04-1999
Mother Name
Nationality
Address Line 1
Religion
Address Line 2
Community
Address Line 3
Caste
Pin Code
Aadhar Card No.
Mail Id
Physically Challenged
Mobile No.
Proposed Study Choice 1
Parental Occupation
Annual Income
First Graduate
Marks in Mathematics / 100
Admission For
Marks in Physics / 100
Blood Group
Marks in Chemistry / 100
Transport Facility
Year of passing
Examination Passed
Identification Marks
Reference Name