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ADMISSION REGISTRATION FORM

Registration Details
*Name of the applicant(Name as per Higher secondary school or equivalent Certificate)
(Applicant's First Name)
(Middle Name)
(Last Name)
*Date of Birth
(Age below 16 is not eligible to apply.)
*Gender
Male Female TransGender
*Country
*State
*District
*City
*Mobile Number
*Email Id
*Confirm Email Id
Course Details
Please select one Course out of the following options you want to enroll for.
*Education Level
Under Graduate Post Graduate
*Program Type
Other Details
Note:Additional Rs.1500 will be charged as Hostel Registration fees if You select Hostel facility as Yes.
*Do you want Hostel facility?
Yes No
*Do you want Transport facility?
Yes No
Note:Once you fill up the applicants details and Register, Login ID and Password will be send to your registered Mobile No. & E-mail ID for further correspondence.
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Version 15.03.01