Candidate Registration Form

Fill up the Form Details
Candidate Name*
Father's Name*
Mother's Name*
Gurdian's Occupation*
Annual Income*
Email Address*
Mobile Number*
Alternate Mobile No.
Date of Birth*
Gender*
Male   Female   Third Gender
Religion*
Caste*
Marital Status*
Un-married   Married
Postal Address*
City/Town/Village*
District*
State or Union Territory*
Pin Code*
Bank A/C Number*
Bank Name*
Branch Name*
IFSC Number*

(Bank details should be in the name of the respective students.)
Upload Photo*
*Upload Photo in .jpg / .jpeg / .png file format between 20 to 60 KB.
Upload Signature*
*Upload Signature in .jpg / .jpeg / .png file format between 20 to 50 KB
Upload Caste Certificate*
*Upload Certificate in .jpg / .jpeg / .png file format between 50 to 150 KB
Upload Marksheet*
*Upload Marksheet in .jpg / .jpeg / .png file format between 50 to 150 KB
Upload Supporting Doc*
*Upload Supporting Doc in .jpg / .jpeg / .png file format between 50 to 150 KB
I Agree to the Terms and Conditions.