Admission Form

Name in Full

(In Capital Letters as entered in SSLC Certificate)

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1 MB limit.
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Permanent Address
Present Address
Name of Parent / Guardian
Title
Address of Parent / Guardian
Phone Number of Parent / Guardian
more items
Name Age Education Living If dead, state cause
Name of Examination Address of School or College Year of joining and month No. of Attempts % of marks
One file only.
1 MB limit.
Allowed types: gif, jpg, jpeg, png.
One file only.
1 MB limit.
Allowed types: gif, jpg, jpeg, png.
DECLARATION

I, have read and accept the conditions stated in the prospectus and I solemnly and sincerely declare that the information furnished by me in this Application Form is true and correct to the best of my knowledge, belief and faith. If, however, any information furnished herein is found to be fraudulent, incorrect or untrue, I understand that I shall be liable for criminal prosecution, rejection of the application and even forfeiture of the seat. I further declare that I will refund to the institution the amount spent on me in case of failure on my part to complete the prescribed course of study unless prevented by illness.