Provisional Addmission Form

Enter Mobile No



 College Name
 Application Date
 Select Branch
 Admission Year
 Admission Class

 Name of the Candidate (As Per Marksheet/TC/LC)
 Birth Date
 Gender
 Father Name
 Mother Name
 Blood Group
 Handicap Yes/No
 Religion
 Student Admission Quota
 Cast (As Per Leaving)
 SubCast
 Nationality
 Aadhar Card No
 Birth Place
 SSC Passing Year
 HSC Passing Year
 Last School/College Name

 Permanant Address
 State
 District
 City
 Pin

 Temporary Address
 State
 District
 City
 Pin

 Student Mobile No
 Student Email ID
 Parent Mobile No
 Parent Email ID



 * Create single PDF file of All attached Documents And then Upload !. Size of PDF File must be less than 8 MB !
  Select PDF File



Size of Phot must be less than 50 KB !
  Select Photo

Provisional Admission Form 2021-2022

Photo
Verified Department (Remark,Name,Signature and Date)
1. Scholarship Department 2. Account Department 3. Admission Department