Personal Details
Candidate's Name:
Father's Name:
Mother's Name:
Nationality:
Indian
Other
If you are a PwD Candidate, do you have benchmark disability (40% or more / “Severe” where percentage is not defined)?:
Yes
No
Subject in Graduation/Post Graduate Exam:
Candidate Photo:
Date of Birth:
Category:
--Select--
General
OBC
SC
ST
Gender:
Male
Female
Other
Do you belong to Minority Community ?:
Yes
No
Name of Minority Community:
Annual Income of the Parents/Guardian:
--Select--
Rs 50,001 - Rs 1,00,000
Rs 1,00,000 - Rs 2,00,000
Rs 2,00,000 - Rs 3,00,000
Rs 3,00,000 - Rs 4,00,000
Are You Diabetic ?:
Yes
No
Candidate Signature:
Submit
Reset