Note: All images should be below 2 MB

1. Name of the Course *
2. Name of the Candidate *
3. Father's Name *
4. Mother's Name *
5. Date of Birth *
 
6. Sex *
Male
Female
Transgender
 
7. Aadhar Card No. *
 
8. Permanent Address *

 
9. Local Address

 
10. Mobile No. of Student *
 
11. Mobile No. of Parent/Guardian *
 
12. Email ID of Student *
 
13. Details of Academic record (Starting form Class X)
 
SL. Name of Exam Year Board/University Div. & Percentage College/School Attach Document
1 Class X *
2 Class XII *
3 Graduation
4 Post Graduation
14. Category *
 
15. Father's Occupation & Annual income *
 
16. Mother's Occupation & Annual income