Step-1 Profile Registration Form

Please read the Information Brochure carefully before filling the Application Form. Enter the Required details below and then click on the Register Profile button on the bottom of page.
Note: Fields marked with an asterisk* are mandatory.
Seeking Admission for*
# Write your FULL NAME (special characters/abbreviation not allowed) as recorded in your High School or equivalent examination certificate. Leave one space blank between any two parts of the name. Do not use prefix such as Shri/Mr./Km./Ms. etc. with your name.
Candidate's Name*
# Write FULL NAME (special characters/abbreviation not allowed) as recorded in your High School or equivalent examination certificate. Leave a blank space between any two parts of the name. Do not use prefix such as Shri/Mr./Dr./ Late etc. with the father's name.
Father's Name*
# Write FULL NAME (special characters/abbreviation not allowed) as recorded in your High School or equivalent examination certificate. Leave a blank space between any two parts of the name. Do not overshoot the boxes. Do not use prefix such as Shri/Mr./Dr./ Late etc. with the mother's name.
Mother's Name*
# Date Of Birth Write your date of birth exactly as recorded in your High School or equivalent examination certificate.
Date Of Birth*
Gender* Female candidates will be automatically considered in GL Sub Category.
Parent's Domicile*
Qualifying examination passed/appeared from college situated in*
Category*
Sub Category*
Religion*
Nationality  
Mother Tongue
Postal Address*
(Max. 400 Chars)
City*
State*
Pincode*
Mobile Number*
Email Id*
If you don't have an email id click any link to create a new email id. GMail YahooMail Hotmail Rediffmail
Confirm Email*
Password*   Maximun 10 charaters.
Confirm Password*  
Parent's Income*
Security Text
  
 
Insert Security Text* Security Text is case sensitive.
 
   
   
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