Level  :
Post Applied For :
 Name : } # As in Matriculation Certificate(Do not use title/salutation e.g. Mr./Ms./Sri/Smt. etc. before name)
Father's/ Husband's Name :
Date of Birth :
Gender :
Category :   Click Here for Details of Economically weaker sections (EWS)
Physically Handicapped : Note : if yes then Submit an attested Certificate of Medical Board
Grand Son/Daughter of Freedom Fighter : if yes then Submit relevant Certificate at the time of Counselling
Email :  
Mobile No. : -
Password :
Confirm Password :
Enter Code Shown :
Note :- Fields marked with * are mandatory