ADMISSION 2023 - 2024
PG ADMISSION ENQUIRY FORM

Name^*

Father's Name ^*

Gender ^*

Date of Birth^*

Community^*

MBC

BCM

DNC

SCA

Others

Door no/Flat no^*

Street Name^*

City/Town/Village^*

District^*

State^*

Pin code^*

Email ID^*

Mobile Number 1(WhatsApp Number)^*

Mobile Number 2

Percentage in 12^th^*

UNDERGRADUATE DETAILS

Institute Name^*

Department Studied^*

UG Percentage^*

UG Passed out year^*

Hereby, I declare that the above given information are true .