MANAGEMENT QUOTA
APPLICATION FORM

1. Student Name (Required)

2. Age (Required)

3. Date of Birth (Required)

4. Gender (Required)
  Male         Female         Transgender      

5. Email (Required)

6. Nationality (Required)

7. Marital Status

8. Religion

9. Community

10. Name of Father/Guardian

11. Occupation & Annual Income of Father

12. Address for Correspondence

Mobile

Landline

13. Address for Local Guardian

Mobile

Landline

14. Permanent Address

Mobile

Landline

15. NEET Score

NEET Rank

16. Qualification

Name of Examination

Year of Passing

University/Institution/Board

Physics, Chemistry & Biology

Biology

Name

Address

Mobile

Name

Address

Mobile

Language

Read

Write

Speak

Language

Read

Write

Speak

Language

Read

Write

Speak

Language

Read

Write

Speak

SSLC + HSE + NEET in a single PDF. (Required)

Passport size photo (.jpg) 200 x 250px. (Required)

  I hereby declare that all information furnished above is true to the best of my knowledge. I promise to abide by the rules and regulations of the college.

Signature of the parent (.jpg) 200 x 150px. (Required)

Signature of the student (.jpg) 200 x 150px. (Required)

Place (Required)

Date

  I agree to the privacy policy.