As per 10th Certificate
Date of birth
Street address, P.O. box, company
Apartment, suite , unit,
building, floor, etc.
Name Of The Parent / Guardian
Parent’s/Guardian’s Annual Income(In lakhs)
Mobile Number For Communication
Choice of Centre to attend Admission
I solemnly and sincerely affirm that all particulars furnished by me in this application form are true and correct. I have not concealed any information.