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--------------------------------------- Online Application Form ---------------------------------------

Course Applied for *

   
Name( in block letters) *

 

 
Father's Name *

Mother's Name *

Occupation *
Permanent Address *

Pin Code *

Telephone *

STD           Phone No.  
Mailing Address

Mobile

Whether you belong to GEN  SC  ST OBC

Date of Birth *

       
Academic & Professional Qualification : (Start With High School)
School / College Exam passed Year Subject % of Marks
Admission to each course shall be made on the basis of GBTU / AICTE Guidelines whichever is applicable.