Apply Online

NOTE: Read the complete form before filling it.

List of documents to be submitted along with the form
1. A passport size photograph of the student and one of each parent.
2.A photocopy of a birth certificate issued by the Municipal Corporation/Civic Authorities.
3.A Photocopy of the latest report card.
4.A Photocopy of the latest report card.
5.A Photocopy of the Residential Proof (copy of the Ration Card/Voter’s ID/Passport].
6.A Photocopy of the passport if the student is a non-resident Indian (NRI).

Student's Name (as per SSLC marks card) *

Gender *

Male
Female
Transgender

Date Of Birth *

Blood Group *

Physically Challenged *

Nationality

Caste *

Name of the college the student is attending

Applying for *

Student Mobile Number *

Email *

Please elaborate your choice

Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

PARENT / GUARDIAN INFORMATION

Father Name

Date of Birth

Nationality

Qualification

Occupation

Designation

Father Mobile Number *

Mother Name

Date of Birth

Nationality

Qualification

Occupation

Designation

Mother Mobile Number *

Parent / Guardian Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Student Signature *

Draw with your finger using the mouse on our online signature pad to create your digital signature. You can clear the digital signature in case of corrections or alterations using a cross mark(x)

Parent / Guardian Signature *

Draw with your finger using the mouse on our online signature pad to create your digital signature. You can clear the digital signature in case of corrections or alterations using a cross mark(x)