Name of Student:
Permanent Address:
Email Address:
Date Of Birth:
Mobile Number of Student:
Mobile Number of Parent:
Select Category: ---OPENSCSTNTDTOBCSBC
Field of Interest:(Give preferences)
Name of College / School Last Attended:
Total Marks in HSC/Diploma:
Total Marks in PCM:
MHT-CET Score:
Total Marks Out Of:
Total Marks in PMB:
Year of Passing HSC/Diploma : ---2023202220212020201920182017
You can put your Question/Remark here: