NAME OF THE COURSE APPLIED FOR :    
  NAME OF THE CANDIDATE :  
  FATHER' NAME :    
  MOTHER'S NAME :    
  DATE OF BIRTH :  
  CASTE :    
  CATEGORY :    
  DISTRICT :    
  ADDRESS FOR COMMUNICATION :    
  ADDRESS (PERMANENT) :    
  EMAIL :    
  CONTACT NO :    
  PARENT'S CONTACT :  
  GENDER   :        
  FATHER'S OCCUPATIONAL   :    
 
  MOTHER'S OCCUPATIONAL   :    
 
  Reference   :    
  EDUCATION QUALIFICATION :    
 
Exam Board/University Subject Pass(year) Percentage Place
Matric
Intermediate
Graduate
Other
 
  DECLARATION BY THE APPLICANT / GRADUATION  
 

I HEREBY DECLARE THAT I HAVE READ AND UNDERSTAND THE CONDITIONS OF ELIGIBILITY FOR THE EXAM. WHICH I AM ENROLLING / PROMOTING. I FULFILL MINIMUM ELIGIBILITY CRATERIA AS PER NORMS OF THE ORGANIZATION ON THE DATE OF FILLING THIS FORM. I HAVE READ AND UNDERSTOOD THAT THE FEE PAID BY ME IS NOT REFUNDABLE. IN CASE OF MY NON EGIBILITY TO THE COURSE, I WILL NOT BE ENTITELED TO REFUND THE FEE PAID BY ME. I AGREE TO ABIDE BY THE RULE REGULATIONS (AMENDED FROM TIME TO TIME) AT THE COLLEGE, AFFILIATING UNIVERSITY/TECHNICAL BOARD. I FURTHER UNDERTAKE THAT ALL THE INFORMATION PROVIDED IN THIS APPLICATION FORM IS TRUE AND CORRECT AND CANDIDATURE IS LIABLE TO BE CANCELLED IN CASE OF ANY DEFAULT AFORESAID.