RAMS - APPLICATION FORM

First Name:

Last Name:

Date of Birth:

Age:

Mobile:

Email:

Gender:

Religion:

Caste:

Category:

Annual Income(in Rupees):

Parent/Guardian Name:

Nationality:

State (Present Address):

District (Present Address):

Pincode (Present Address):

Present Address: Tick if Present Address is your Permanent Address

Permanent Address:

Qualifying Degree:

Full Name of the Instituition:

Full Name of the University:

Result:

Percentage or CGPA:

Month and Year of Passing:

Entrance Examination:

Entrance Score:

Require Hostel?

Upload Recent Passport Size Photo:

Upload Signature:

Place:

*All fields are mandatory

DECLARATION: All the above information is true to my knowledge and I shall present the required documents for verification when necessary.