Name in Full* ( In BLock Letters )
Date of Birth *
Sex * -- Select -- Male Female
Nationality, Community *
Aadhaar Number *
BPL/APL *
Whether the applicant belongs to SC/ST *
Applicant's Local Address & Telephone No *
Name & occupation of Parent / Guardian with permanent address *
Relationship of Guardian with the applicant *
Reg No and year of passing std. X *
Name & address of the school previously attended and medium of instruction*
Name of the qualifying examination ( AISSE / ICSE / SSLC )
Aggregate Marks / Grade obtained*
English ( Marks/Grade Obtained ) *
Second Language ( Marks/Grade Obtained )*
Mathematics ( Marks/Grade Obtained )*
Social Studies ( Marks/Grade Obtained )*
Science ( Marks/Grade Obtained )*
Total ( Marks/Grade Obtained )*
Group A English Score Mathematics Computer Science Physics Chemistry
Group BEnglish ScoreMathematics BiologyPhysicsChemistry
Group CEnglish Score Biology Computer SciencePhysics Chemistry
Group DEnglish Score Business StudiesEconomics Accountancy Mathematics / Informatics Skill Subject - Banking
First Preference
Second Preference
Third Preference
Out Standing performance in co-curricular activities / Sports ( State level & National Level )
Passport Size Photo *
Upload Aadhaar *
Upload Birth Certificate *
