Home / Admission Form XIth
(To Be Filled in Block Letters)
1.Personal Details (All Fields are Manadatory)
First Name
Middle Name
Last Name
Date Of Birth(DD-MM-YYYY)
Email ID
Mobile No.
Category (GEN / OBC / SC / ST / PH) GeneralOBCSCSTPH
Aadhar Number
Passport Number
Correspondence Address
City
State
Pin code
Permanent Address
Father's Name
Occupation
Mob. No.
Mother's Name
2. Academic Record
Exam. Passed
Board / University
School / College / Institute (With Location)
Degree / Specializations
Year Of Passing
Marks % / CGPA
Medium Of Education
IXth
Xth
I declare that the information furnished above is correct. I Accept that incorrect information or withholding of relevant information may disqualify me. I agree to abide by the rules and regulations of the Institute.
