Form Fillup For General Course

Candidates are asked to submit their Thalassemia Test Report at the time of Submission of form (Hard Copy)

Form submission is closed..  Saturday, 21 Oct 2017
PERSONAL PART
Name of the Applicant      
Date of Birth
*
Attach Your Passport Size Photo

Not more than 100kb
 
Nationality    
Religion    
Minority  
Gender  
Caste/Category     Sub Caste  
Caste Certificate No.
PWD
Percentage of PWD  
PWD Certificate No.
Contact No.    
E mail  
Father's Name    
Father's Qualification
Father's Occupation
Full Address with Pin Code    
 
Police Station (P.S.)
Mother's Name   
Mother's Qualification
Guardian's Name  
Guardian's Occupation  
Relation with Guardian  
Marital Status
Spouse Name  
ACADEMIC PART
H.S/Equivalent Roll & No./Index No.  
H.S. Registration No.  
H.S. Registration Year  
Previously Registered To V.U.   Registration No.     Registration Year
Year of Passing  
Name of the Council/Board  
Name of the School  
No. of 'Language Subjetc(s)' studied in H.S./Equivalent Course
 
 Statement of marks obtained in the H.S./Equivalent Examination * In case of Vocational Council, do not enter the marks of Environmental Studies
Subject Full Marks (Theo) Full Marks (Prac/Oral/Project) Marks Obtained (Theo) Marks Obtained (Prac/Oral/Project) Total Marks Obtained
English  Compulsory           0 to 100
Compulsory           0 to 100
            0 to 100
            0 to 100
          0 to 100
            0 to 100
           
Total Marks Best Five    
       
 
APPLICATION PART
Applicant may choose General Subject(s) as per his/her choice. But finally the said subject(s) will be offered to him/her on availability or eligibility at the time of admission.
Srl. No.StreamCourse TypeGeneral Subject 1General Subject 2General Subject 3Merit Point
1
Please confirm Date of Birth then submit your Application Form.