Online Admission

    Course Name:

    Name of Applicant

    Son/Daughter/Wife of:

    Address:

    State:

    Pin

    Country

    Email

    Contact Number

    DOB

    Nationality:

    Religion

    Academic qualification Details:

    Academic qualification

    Discipline

    Board/ University

    Year of passing

    Details of Payment:

    Demand Draft No

    Dated

    Amount

    Drawn on

    In Case of Online Transfer:

    Amount

    Reference No.

    Date

    Declaration by applicant:

    I


    hereby declare that statements made in this application form are true and correct to the best of my knowledge and belief. I am aware that if at any stage it is found that the statement made by me are not true or misleading, my admission/registration will be cancelled by the Institution. Further, I have carefully understand the rule of the Institution and I accept them.

    Date

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