Name (In block letter as in S.S.L.C Book)
Expansion of initials
Mobile
Address to which communications are to be send with pin code & Phone No.
Permanent address with pin code & phone No
Date Of Birth
Age
Place of birth
Taluk
District
Nationality
Religion
Name of the institution in which the applicant studied for the Qualifying Exam
Reg. No
Year
No. of chances taken to pass QUALIFYING EXAM
Details of marks (Attach self attested copy of marks)
No
Subject
Grade Awarded
Mark Awarded
1
2
3
4
5
6
Course to which admission is sought
Name Of parent/Guradian
Relationship with guardian
Occupation
Annual income
Quota —Please choose an option—Management
Department Details
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