Online Admission

Course Name:

Name of Applicant		Son/Daughter/Wife of:
Address:		State:
Pin		Country
Email		Contact Number
DOB
Nationality:		Religion

Academic qualification Details:

Academic qualification	Discipline	Board/ University	Year of passing

Details of Payment:

Demand Draft No	Dated	Amount	Drawn on

In Case of Online Transfer:

Amount	Reference No.	Date

Declaration by applicant:

I
hereby declare that statements made in this application form are true and correct to the best of my knowledge and belief. I am aware that if at any stage it is found that the statement made by me are not true or misleading, my admission/registration will be cancelled by the Institution. Further, I have carefully understand the rule of the Institution and I accept them.

Date	Upload Signature	Documents Upload