Step 1 of 3
Personal Information
Student Name* (Strictly as per SSLC marks card)
Caste / Sub-caste*
Name is Required
Name of the Father/Guardian* (Strictly as per SSLC marks
card)
Father Name is Required
Mother's Name* (Strictly as per SSLC marks card)
Mother's Name is Required
Religion*
Religion is Required
Category*
Select category
Caste is Required
Gender*
Select Gender
Handicap*
Select handicap or not
Nationality*
Select your nationality
Date Of Birth*
Date Of Birth is required
Aadhar Number*
Aadhar Number is required
Photo*
Upload photo
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Upload clearly visible photo having a width of 190 pixels and height of 220 pixels
Maximum size allowed is 100kb
Signature*
Upload Signature
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Ensure a clearly visible image of your signature with width of 190 pixels and height of 50 pixels
Permanent Address*
All fields in Address are required
Communication Address*
All fields in Address are required
Mobile Number*
Email Address*
Mobile number is required
LandLine Number(with STD code)
Email Address is required
The Email ID format is invalid
Student Bank A/c number*
Bank A/c number is required
Branch*
Branch is required
IFSC Code*
IFSC Code is required
Father / Guardian Occupation*
Occupation is required
Father / Guardian Annual Income*
Annual Income is required
Documents to be uploaded (Each file should be of less than 1Mb)
Step 2 of 3
Course Selection
Graduation / Diploma*
Graduation / Diploma is required
Course *
Course is required
Subject *
Subject is required
Language Subject 1*
Language is required
Language Subject 2*
Language is required
Paper Detail of selected Course
College Name *
Counselling Center Name is required
Step 3 of 3
Details of Eligibility Exam / Fee Payment
Eligibility Exam Passed
Eligibility Exam Passed is required
Combination / Subject Studied
Combination is required
Max. Marks
Max Marks is required
Sec. Marks
Combination is required
Percentage
Percentage is required
Register Number
Register Number is required
Month & Year of Passing
Month & Year of Passing is required
College/Institution/University where you studied (Including Place Name)
College is required
Fee Details
Total Amount
Fees Not defined Contact University
Payment Type
Payment type is required