Online Admission Form

Session 2019 - 2020

Course Details
Course Applied for(MBA/MCA/
MCA Letetral)
Year/Sem
Course Year Group
Personal Details
Name of the student
( as in high School Certificate)
Date of Birth
In Hindi Gender
Father's Name Occupation Mobile No.
Mother's Name Occupation Mobile No.
Guardian's Name Occupation Mobile No.
Father's/Guardian's Annual Income
Mobile No. of the Applicant
Aadhaar Card No.
As Per Aadhaar Name
Permanent Address/
Full Postal Address of the Guardian
Pin Code Email Address
Religion Category
Nationality   State (Domicile)
Details of the Tests Appeared
CAT/C-MAT/XAT/MAT Roll No CAT/C-MAT/XAT/MAT Score
Co Curricular Achievement(s) NCC/NSS/Sports/Cultural Activities (Attach Proof) Any Professional/Academic Achievement
Academic Qualification(starting from Xth or equivalent)
Examination Passed Year Name of Board/University Subjects Marks Obtained %age/CGPA
High School / Equivalent
Intermediate(10+2)/NIOS
Graduation
Post Graduation
Other
Enclosure: Check List(Tick whichever is applicable)
Highschool
Intermediate
TC
Migration
Aadhar
Student Signature/Parent Signature
Declaration by the Candidate
I hereby declare that all the particulars mentioned above are correct and true according to the best of my knowledge and nothing had been concealed or distorted. I agree to abide by the rules regulations as code of conduct of this institute. if at any time, I am found to have concealed or distorted any information and misconduct my admission shall be cancelled without any prior notice.