Application form PG

Course applied for

Name of the Applicant

Age & Date of Birth

Religion & Caste

Whether belongs to SC/ST/OBC/OEC

Gender

MaleFemale

Blood Group

Permanent Address (with PIN Code & Dist.)

Address for Communication (with PIN Code & Dist.)

E-mail

Father’s Name & Designation

Father’s Mobile No

Official address with designation

Mother’s Name

Official address with designation

	Main Subject	% of Marks	Board/ University	Year of Passing	Register No	Name of School/ College & Place
SSLC
HSC
Degree