Name of the Candidate:
Name of the Father/Mother:
Date Of Birth:
Reservation Category
Residential Status
Minority Status
Special Category
Name of the qualifying Examination passed
Marks Secured in the qualifying examination BA/BSc/BCom/BTech/BE, others
  Part-I Part-II Total(I+II)
Marks Secured Max Marks Marks Secured Max Marks Marks secured Max Marks
I Year
II Year
III Year
IV year
Address For Communication:
Pin Code:
Particulars of study of preceding seven(7) years starting from the qualifying examination.
Course/Class Year of Study School/ College/ University Place and District
Occupation of Parent/Guardian:
Annual Income of Parent/Guardian:
Permanent Address:
Please write which following document you have
Photo (below 20kb):
I hereby solemnly affirm that the above information is correct and I am aware that my admission is liable to be cancelled in case any information is found to be incorrect. I have gone throught and understood the Rules, Regulations and Instructions for admission to MCA and MBA Programmes.