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Admission

Nationality

Father's Details

Mother's Details

Spouse's Details

Family's Annual Income *

Address for Correspondence

Is Permanent Address Same As Address For Communication?*

Yes No

Academic Details

Post Gradution Details

# Institute Name University Year of Passing Result Status Marking Scheme Total Obtained CGPA / Percentage
PG

Graduation Details

# Institute Name University Degree Year of Passing Marking Scheme Total Obtained CGPA / Percentage
UG*

Graduation Exam Type *

Graduation Year Wise Details

# Year Wise Marks / CGPA Passing Year
1st Year
2nd Year
3rd Year
4th Year
5th Year

H.S.C Details

# Institute Name Board / University Stream Year of Passing Marking Scheme Total Obtained CGPA / Percentage
HSC

S.S.C Details

# Institute Name Board / University Year of Passing Marking Scheme Total Obtained CGPA / Percentage
SSC

Have You Appeared For Any Entrance Exam ?

Do you have any work experience?

Work Experience Details

# Name & Address of Organisation Designation From Year To Year Total Work Experience (Years)
1
2
3

Extra Curricular Detaills (Achievement and Awards)

# Name of Award Awarding Institution Academic Level Basis of Award Year
1
2
3

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Declaration

I certify that the Information submitted by me in support of this application, is true to the best knowledge and belif. I understand that in the event of any information being found false or incorrect, my admission is liable to be rejected / cancelled at any stage of program. I undertake to abide by the disciplinary rules and regulations of the institue.