1) Personal Details (Type in Block Letters)
Name:
Sex:Male Female
Present Address:
Telephone No: Mobile: No:
Email:
Date of Birth: Place of Birth:
Citizenship:

2) PARENT'S/GUARDIAN NAME
Name:
Permanent Address:
Telephone No: Mobile: No: Occupation:

3) EDUCATIONAL QUALIFICATION
Name of School/College/University last attended:
Certificate/ Diploma / Degree obtained:
Marks Obtained:
Physics:
Chemistry:
Biology:
English:
Year of Completion:

4) COURSE OF STUDY APPLIED FOR
Name of the course: Medium:
University applied:
5) LANGUAGE PROFICIENCY
Mother tongue:
Language used in secondary education:
Language used in higher secondary education:

6) UPLOAD REQUIRED FILES
Your Latest Photo:
Your 10th Marksheet:
Your 12th Marksheet:
6) OPTIONAL FILES
Do you have Passport?? OR
Passport Front Page: Passport Back Page:
Passport Number: Expiry Date: