Helpline No - +91-612-2295531


Name of Applicant in Block letters
Local Address
Permanent home address with P.O.P.S.
District and Nearest Railway station
Date of Birth
Father's/Husband's Name
Present Address
Name of the College/School from which the applicant has passed Matric/Intermediate/Bachelor/Post Graduate examination
Examination Passed Year of Passing Name of School/College Name of Board/University Division %
Whether You belong to SC/ST/OBC

I hereby declare that all the information given above are true to the best of my knowledge and further declare that i will be regular in attending the classes.
Contact No:
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N.B. :
1. No application will be considered unless all the particulars asked for are duly furnished.
2. Applicant is directed to enclose his/her Character and Transfer certificate.