Admission Form

Enrolled Course Name

Date of Admission

Form No.

Roll / Enrollment No.

Date of Birth

Personal Details

Candidate’s Name (English)

Candidate’s Name (Hindi)

Father’s Name

Mother’s Name

Medium

Gender

Caste

Belong Area

Upload Photo & Signature

Passport Photo

Signature

⚠️ Important Instructions:
• Passport Photo size: 3.5cm × 4.5cm
• Signature size: 3cm × 1.5cm
• File format: JPG / PNG only
• Max file size: 200 KB
• Ensure clear background and proper visibility

Contact Details

Permanent Address

District

Pincode

State

Mobile No.

Parents Mobile No.

Student Gmail ID

Educational Qualification

Documents

Declaration

I hereby declare that the information furnished is true to the best of my knowledge and belief.