FORM N0 : 479097
Candidate's Personal Information
Candidate Name
As per 10th class certificate [ Capital Letters ]



(Image Size should be less than 1 MB )
Fathers Name :
As per 10th class certificate [ Capital Letters ]
Street | Village
District
State | Country
Date of Birth :
( DD / MM / YYYY)		 Religion :
Gender : Opt for Payment :   
Yes -  For Consideration in Self Finance Category.
Category : Upload Category Certificate ( If Applicable )

 ( Size < 500 kb ).
Contact No. Email :
Course Information
Course Applied :
Upload Documents 10th Class Marks Sheet :

 ( Size < 500 kb ).		 12th Class Marks Sheet :

 ( Size < 500 kb ).
Academic Information
Class Exam Roll No. Exam Session Passing Year Subjects Opted Marks Obtained Max-Marks Board
10th
12th
 
Dated : 4/1/2025
Declaration:

1. I hereby declare that the entries made in this application form are true to the best of my knowledge and belief.
2. In the event of any information being found false , incomplete or incorrect , my selection is liable to be cancelled / terminated.
Signature of the Parent / Guardian .Signature of the Applicant