Students Registration Form

Following details are required for filling the registration form

Students has to bring Aadhar card, SSLC Marks card and PUC marks card and
also the details provided during filling Scholarship form (SSP) if any

USN:
NAME:
AADHAR NUMBER:
DATE OF BIRTH AS IN SSLC:
MOBILE / PHONE NUMBER:
EMAIL-ID:
RELIGION:
CASTE:
CATEGORY:
STATE:
SEAT TYPE:
ADMISSION QUOTA:
TYPE OF ADMISSION:
10TH/ CBSE/ICSE REGISTRATION NUMBER:
10TH/ CBSE/ICSE PASSING YEAR:
PUC/DIPLOMA REGISTRATION NUMBER:
PUC/DIPLOMA PASSING YEAR:
PUC/DIPLOMA PASSING MONTH:
ARREAR SUBJECTS COUNT:
ELECTIVE SUBJECTS:

Student Signature