APPLICATION FORM FOR ADMISSIONS 2024-25

DIPLOMA PROGRAMMES (AFTER 10+2)

Candidate Name (As Given in Class 10 th Certificate):

Sex:

Category:

Date of Birth:

Permanent Address:

Pin:

Photo:

Signature of the candidate.:

E-Mail (if any) :

STD Code:

Telephone:

Mobile No:

Academic Details:

Year Of Passing SSC/12 th std:

Name of The Board of Qualifying Exam : (12 th /HSC/or Equivalent):

Marks/Grade Obtained In The Qualifying Examination:

	Physics	Chemistry	Biology
Maximum Marks
Minimum Passing Marks
Marks Obtained

Admission preferred for:

Preference-1:

Preference-2:

Name & address of the College from which candidate has passed(12th std):

Name And Address of Parent/Guardian ::

Declaration-I:

a) I hereby declare that the above information is true and complete to the best of my knowledge. I am aware that if any information herein is found to be incorrect or incomplete, my application form will be rejected / admission will be cancelled.

b) If admitted to this Institution I shall abide by its rules and regulations.