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Admission Open UG/PG

Admission Form 2017

Name*:Middle:
Last Name:*
Address in Capital Letters(Permanent Address)*:
District:Mobile*:
State*:Phone with STD:
Pincode*:Date of Birth*:
Primary Email*: Secondary Email:
Gender:MaleFemale
Marital Status:MarriedUnmarried
Name of Father/Mother/Husband/Guardian:*
Occupation:
GovernmentNon GovernmentOther
Father's Gross Annual Income :Less Than 3 LakhsLess Than 5 LakhsAbove Than 5 Lakhs
Are you presently undergoing any other programmes in any institution(including DDE) If yes, give details:YesNo
Qualifying Examinations Passed:
Name of the Examination:Duration of the courseName of the University BoardRegistration No & Year% age of MarksClass Obtained
X
XII
Graduation
Post Graduation
Other

 
x

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