Admission Form

Course/Programme Details

Programme Name *

Session/Year

Gender *

Male Female Other

Date of Birth *

Name of Applicant *

Father Name *

Mother Name *

Aadhar Number

Email Id *

Category *

Nationality

Domicile

West Bengal Maharashtra Other

Permanent Address

City

State

Pin Code

Permanent Mobile Number *

*Note - Student may submit his / her passport size pic along with self attested academic documents later on visiting the campus.

I hereby declare that I have carefully read the instructions and all the informations furnished by me are correct.