APPLICATION FOR B.Des./M.Des.

STUDENT REGISTRATION FORM

Name :
As Per SSLC Certificate
Father's Name :
Mother's Name :
Date of Birth :
Nationality :
Gender :
Territory :
Category :
Martial Status :
Religion :
Contact Details :
Phone :
Mobile :
Fax No. :
E-Mail :
Flat/Door/BlockNo. : Name of premises/Building/ Village :
Road/Street/Lane : Area/Locality :
City/District :
State :
Pin Code :
Centre Code (optional) :
Relevant Qualification :(Which Makes you eligible for the programme )
Qualification :
Percentage of Marks
%
Main Subject
Year of Passing
Board/College/University
Details of Course
Select Course :
Upload Photo
 
Declaration:
•  The information submitted above are true and correct to the best of my knowledge. If any information is found to be false or incorrect, I understand that my candidature will be rejected.
•  I agree to remit Rs.500/- through online, towards Application and Registration fee.