index

ADMISSION FORM

* indicates mandatory fields


Date	Session	Year	Course


	Name*		Place*
	Date Of Birth		District
	In Words		State
	MotherTongue		Nationality

Permanent Address *

Temporary / Local Guardian's address

	Ph.		Cell
	Email*

	Ph.		Cell
	Email


	Father / Spouse's Name		Mother's Name
	Occupation		Occupation
	Telephone		Telephone

Examination Passed

Name of the Institution Last attended and Year

DECLARATION

I have read the admission conditions & instructions & relevant ordiances given and hereby declare that the Principal / Management has the right to detain me from proceeding to the annual examinations conducted by the Institution / University.

I promise to abide by the rules & regulations of the Institution.