First Choice Course
Second Choice Course
HSC Reg.No
1.Name
2.Gender
Male Female
3.Name of Father / Guardian
4.Father's / Guardian's Occupation
5.Mother's Name
6.Mother's Occupation
7.Annual Family Income
8.Address for Communication
9.Permanent Address
Change
10.Mobile No. (Father)
12.Date of Birth
14.Mother Tongue
16.Religion
11.Mobile No. (Mother)
13.Age
15.Nationality
17.Community
18.Special Category, if any
19.Residential Status
Resident Non-Resident
20.Percentage of marks in 10th / equivalent Exam
21.Particulars of Qualifying Examination
HSC Pre -Degree
22.School(s) studied in HSC
23.Board
State CBSE Others
24.Medium of Instruction
25.Number of Attempts
26.Details of Marks Obtained
Subject 1:
Marks Obtained
Subject 2:
Subject 3:
Subject 4:
Subject 5:
Subject 6:
Total
%
27.Language Under Part I
28.Aadhaar Card No.
29.Email ID of the candidate
30.Re-enter Email ID for confirmation
31.Document Upload Upload below documents in jpeg / jpg / png / pdf format. Document size should be less than 2 MB