Online Registration Form

Registration No. :   58
Course Detail
Applied Class For :
Applied As :
Personal Detail For Help Contact : 8871172635 / 9438444406
Applicant Name :
Father's Name :
Mother's Name :
Date Of Birth (DD/MM/YYYY) :
Nationality :
Religion :
Category :
Gender :
Address :  
Mobile No. :
Residential Contact No. :
Email-id :
Upload Photo (Max Size 100KB) :
Last School Detail
School Name Passing Year Class Obtained Mark Total Mark