Application Form

Student's Name*

in BLOCK Letters

Father's Name*

in BLOCK Letters

Father's Occupation*

Mother's Name

in BLOCK Letters

Mother's Occupation

Guardian's Name

in BLOCK Letters. (If living with a Guardian.)

Guardian's Occupation

GenderMaleFemaleOther

D.O.B*

Religion

If Christian, please state Church affiliation.

Community

Mail Id*

Contact No.*

Parent's Contact No.

Guardian's Contact No.

Present Address

Permanent Address*

Course Opted*

Education (Click here to fill details)

10th Std

12th Std

Graduation

Post-Graduation

Others

Attach scanned copies of DoB, Address, Degree & Marksheets.*

Only PDF file types, 5MB max allowed. Add new row for more attachments.

Have you appeared for Civil Services exam earlier?YesNo

If yes, provide Registration number.

Do you require Hostel accommodation?*YesNo

Declaration: I hereby declare that the information I have provided are true and complete to the best of my knowledge.