Father's / Husband's Name / Mother's Name :-

Pin Code

Telephone No. (If any) with STD code

Mobile No.. (If any)

Nationality

I hereby declare that I have read and understood clearly that the conditions of eligibility for the programme for which I seek admission are known to me. I fulfill the minimum eligibility criteria and have provided necessary information in this regard. In the event of any information being found incorrect or misleading, my candidature shall be liable to cancellation by college as well as, the University at any time and I shall not be entitled to a refund of any fee paid by me to the college University.