Name  of candidate

    Email

    Age & date of birth (please enclose a copy of  certificate )

     

    Whether male or female :

     

    Address :

     

    House name

     

    Place  

    Post office

     

    District

     

    State

     

    Pin code

     

    Ph. No

     

    Religion & caste  :

     

    Nationality :

    Father’s name , qualification & occupation

     

    Mother’s  name, qualification  & occupation

     

    Details of marks and grades  

    A)periodic test- you may find the average of best two periodic tests and convert it  out of 20

    B)pre-board - the marks of 2nd pre-board out of 80

    Sl no.

     

    Subjects 

     

    Periodic test(20)

     

    Pre board(80)

     

    Percentage(100)

     

    1

    2

    3

    4

    5

    6

     Details of the stream opted 

     

    SL NO

    Subjects Opted

    1

    2

    3

    4

    Details of the school last studied

     

    Name of the school

     

    Place

     

    Board

     

    Year

     

    Tel. Ph. No.