APPLICATION FORM
Personal Details
1. Name of The Applicant*
2. Date of Birth*
3. Gender*
4. Nationality*
5. Group Code*
6. Course(s)*
7. Category*
8. Test Center
Choice 1*
Choice 2*
Choice 3*
9.Parent/Guardian Name*
Contact Details
10. Address of Correspondence*
10.1 City*
10.2 State*
10.3 Pin Code*
11. Telephone Number*
12. Mobile Number*
13. E-Mail Address*
14. Alternate E-Mail Address*
Education Qualification
18. Details of 10+2  Passed    Appearing
School/College* Board/University* Subjects Marks Maximum Marks Obtained* Presentage(%) of Marks Month & year
1.
2.
3.
4.
5.
6.
7.
Total.
19. Details of Qualifying Examination(Only for PG/Diploma)
Qualifying Exam. School/Collage Board/University Year/Semester Marks Maximum Marks Obtained % of Marks Month & year
1 Yr/ I Sem
1 Yr/ II Sem
II Yr/ III Sem
II Yr/ IV Sem
III Yr/ V Sem
III Yr/ VI Sem
IV Yr/ VII Sem
IV Yr/ VIII Sem
Total
Payment Information
20. DD Number* DD Date* DD Amount* Issuing Bank Name with Branch Code*