Application Form For Entrance Examination

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Examination Centre*

Name of the Applicant *

Name

Father/Guardian Name*

Name

Date of Birth (DD/MM/YYYY) *

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Category (General/ SC/ST/OBC) *

Guardian Occupation*

Family Financial Status*

Gender ( Male/ female)*

Male

Female

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Full Address with Pin Code*

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District*

Mobile no.*

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Aadhar Number*

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Last Examination Passed*

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Stream*

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Diploma

Paramedical Science

Management

B. Tech

BCA

Pharmacy

Signature of the Applicant

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I, hereby declare that the information furnished by me in this application is correct to the best of my knowledge and belief. In the event of any information provided by me is found false or incorrect, my candidature/ application is liable to be rejected without any notice.

Signature of the Applicant

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