Online Application

Step 1 of 2

Name in full
(In capital letter)

Name in full *

Gender (M/F)

Age and Date of Birth

Age *

Date of Birth *

Name of parents

Father

Mother

Contact Number

Occupation

Permanent Address of the parent
(Telephone No. if any)

Permanent Address of parent

Present Address of the parent
(Telephone No. if any)

Present Address of the parent

Address to which communication is to be sent
Email address

Address to which communication is to be sent

Religion & Community

State whether you belong to the Schedule Tribe/Schedule Caste/Other Backward Community

Name of the Institution last attended

Any outstanding achievement at school

Name & Address of the local guardian if any

Name of the Examination Passed
AISSE/SSLC/ICSE

Name of the Examination Passed