ONLINE ADMISSION ENQUIRY
(2020 - 2021)

Online Admission Enquiry Form

(Student must have completed 10+2 examination with Physics, Chemistry, Mathematics (P.C.M) and / or Biology (P.C.B / P.C.M.B.)
Name of the Student
*Please enter your name
Date of Birth
*Please enter your Date of Birth
Age
*Please enter your Age
Gender
*Please select your Gender
Category
*Please select your Category
Father's Name
*Please enter your Father's Name
Occupation
*Please enter occupation
Mobile Number
*Please enter your Mobile Number
WhatsApp Number
*Please enter your WhatsApp Number
Course Applied For
*Please select your Course
Communication Address
*Please enter your Communication Address
Pincode
*Please enter your Pincode
District
*Please enter your District
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