Basic DetailsFirst Name *As in your High School or Equivalent CertificateMiddle NameLast NameMother Name *As in your High School or Equivalent CertificateFather Name *As in your High School or Equivalent CertificateEmail Address *Student Contact Number *Address Line 1 *Address Line 2City *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweDate of Birth *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923Gender *SelectMaleFemaleRather Not SayParent / Gradian Contact Number *Aadhaar NumberPassport NumberCategory *SelectGeneralScheduled CasteScheduled TribesOBCOtherNationality *Please select an optionIndianOtherUpload Passport Size PhotoChoose FileNo file chosenDelete uploaded fileProgramme DetailsSelect School *Please select an optionSchool of Engineering & TechnologySchool of Paramedical SciencesSchool of ManagementSchool of Hospitality & Tourism ManagementSchool of Media and Mass CommunicationSchool of Legal StudiesSchool of Fashion DesignSchool of CommerceSchool of SciencesSchool of PharmacySchool of Engineering & Technology *Please select an optionBachelor of Computer Applications BCABachelor of Computer Applications Pulse (BCA+)Bachelor of Technology - Computer Science Engineering Pulse (B. Tech CSE +)Bachelor of Technology - Computer Science EngineeringBachelor of Technology-Civil EngineeringBachelor of Technology-Electrical EngineeringBachelor of Technology-Mechanical EngineeringMaster of Technology-Civil EngineeringMaster of Technology-Computer Science EngineeringSchool of Paramedical Sciences *Please select an optionBachelor of PhysiotherapyBachelor in Medical Lab TechnologyBachelor of RadiographyBachelor of OptometryBachelor of Science (Nutrition and Dietetics)B.Sc Forensic ScienceDiploma in Audio and Speech TherapyDiploma in X-ray TechnicianDiploma in Dialysis TechnicianDiploma in Assistant NursingDiploma in RadiographyM.Sc Forensic ScienceSchool of Management *Please select an optionMaster of Business Administration (MBA)Master of Business Administration Pulse (MBA+)Bachelor of Business Administration (BBA)Bachelor of Business Administration Pulse (BBA+)School of Hospitality & Tourism Management *Please select an optionBachelor of Hotel Management (BHM)Masters of Hotel Management (MHM)School of Media and Mass Communication *Please select an optionBachelor of Arts- Journalism & Mass Communication (BAJMC)Master of Arts-Journalism & Mass Communication (MAJMC)School of Legal Studies *Please select an optionBachelor of LawBachelor of Arts - Bachelor of Law (Integrated) BALLBLLMSchool of Sciences *Please select an optionB.Sc. (Hons) ChemistryM.Sc. ChemistrySchool of Commerce *Please select an optionB. ComSchool of Fashion Design *Please select an optionB.Sc. Fashion DesignSchool of Pharmacy *Please select an optionBachelor of PharmacyDiploma in PharmacyDo you want to Join NCC *Please select an optionYesNoPre-qualifying TestName of Pre-qualifying TestRoll No.Score ObtainedRankHostel and Transportation RequiredHostel RequiredSelectYesNoHostel TypeSelect4 Sharing3 Sharing2 SharingFood TypeVegetarianNon-VegetarianWithout FoodTransportation RequiredYesNoAttach All The Documents HereDrag and Drop (or) Choose FilesSend Message
