Personal Details
Applied Degree Name
Name is Required
Student Name* (As per SSLC / 10th marks card)
Name is Required
Father's Name* (As per SSLC / 10th marks card)
Father Name is Required
Mother's Name* (As per SSLC / 10th marks card)
Mother's Name is Required
Date of Birth* (As per SSLC / 10th marks card)
Date of Birth is required
Religion*
Religion is Required
Gender*
Select Gender
Claim under section 371J?*
Select section 371J?
Are you a person with disability?*
Select section Are you a person with disability?
Special Category *
Special Category is Required
Upload photo
![]()
Upload clearly visible photo having a width of 2 inches and height of 2 inches
Maximum size allowed is 100kb
Upload Signature
![]()
Ensure a clearly visible image of your signature with width of 190 pixels and height of 50 pixels
Category*
Select Category
Caste *
Caste is Required
Aadhar Number
Aadhar Number is required
Nationality*
Select Nationality
Student Email ID*
Student Email ID is Required
Student Mobile Number*
Student Mobile Number is Required
Parents Mobile No.
Parents Mobile No. is Required
Annual Family Income
Annual Family Income is Required
Permanent Address*
All fields in Address are required
Communication Address*
All fields in Address are required
Documents to be uploaded (Each file should be of less than 1Mb)
Previous Academic Details
Qualifying Exam*
Qualifying Exam is Required
University / Autonomous College Name*
University / Autonomous College Name is Required
Register number of Qualifying Exam*
Reg. No. is Required
Admission based on subject*
Admission based on subject is Required
Details of the marks obtained in all the optional subjects in qualifying Degree Examination*
If the result is awaited then enter Obt. and Max. Marks as 0 (Zero) Optional subjects marks are Required
If the result is awaited then enter Obt. and Max. Marks as 0 (Zero) Optional subjects marks are Required
| Sl. | Subject | Sem / Year I | Sem / Year II | Sem / Year III | Sem / Year IV | Sem / Year V | Sem / Year VI | Total Marks | % of Marks | |||||||
| No. | Obt | Max | Obt | Max | Obt | Max | Obt | Max | Obt | Max | Obt | Max | Obt | Max | ||
Payment Type *
Payment Type is Required
Application Amount*
Amount is Required