Registration

( Kindly fill application form carefully otherwise your application will be rejected )

Basic Details

Address

Other Information

Declaration

Note :- Fields marked with * are mandatory

Registration Type* :

#( यदि आप किसी अन्य बोर्ड / यूनिवर्सिटी से एक या एक से अधिक विषय मैं उत्तीर्ण हैं और एक या दो विषय का क्रेडिट लेना चाहते हैं तो T.O.C से अप्लाई करें |अन्यथा REGULAR से अप्लाई करें | )

Course Applied For * :

Name (As Per Aadhaar) * :

#(Do not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before name)

Father's Name (As Per Aadhaar) * :

#(Do not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before father's name)

Mother's Name (As Per Aadhaar) * :

#(Do not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before mother's name)

Date of Birth (As Per Aadhaar) * :

Applicant Email * :

Please Enter Correct Email ID

Applicant Mobile No.* :

* Please Enter Valid mobile no

State of Domicile * :

Category* :

Home District* :

Home Block* :

Gender* :

Aadhaar Number* :

Upload Aadhaar(*.pdf file only of size not more than 400Kb)

Enter Code Shown Above* :

I agree to provide my Aadhaar number for Aadhaar based authentication for the purpose of establishing my identity