ONLINE ADMISSION DATA

Name of the Student (required)

Gender (required)
MaleFemale
Contact Phone Number (required)

E-Mail

Father's Name (required)

Annual Income of the Parent / Guardian (required)
Less than 2 Lakhs2 - 5 LakhsAbove 5 Lakhs

Address for Communication (required)

Pincode (required)

Name of the School / Institution (required)

Location of the School / Institution (required)

SSLC Mark Details

Class Studied (required)
XIIDiploma

Community (required)
OCBCMBCDNCSCST

First Graduate (required)
YesNo

PAYMENT DETAILS

Amount Paid in Rs. (required)

Bank Name

DD No. / GPay No. / Transaction Ref. No. (required)

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