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Online Application Form
Nameyour full name
Father's Nameyour father's full name
Mother's Nameyour Mother's full name
Date of Birtheg. 11/02/1983
Ageyour full age
Adaar Card No.Your adhaar Card Number
State
CasteEg. GEN, SC, ST, SC.
ReligionEg. Christian, Hindu.
Mobile No.a valid mobile no.
Present Address
0 /
Permanent Address
0 /
Annual Income
Father/Mother Occupation
Please provide academic details of class 12th & 10th

    • Secured minimum 45% marks in PCM in +2 for General Category
    • Secured minimum 40% marks in PCM in +2 for SC/ST/OBC Category

Board/Universityfor class 12th
Statefor class 12th
Marks Obtainedfor class 12th

Board/Universityfor class 10th
Statefor class 10th
Marks Obtainedfor class 10th
    • Qualify JEE 2017 (Obtained minimum 10% marks) i.e. 36 marks
    • Qualify CGPET for CG Domicile (Obtained minimum 10% marks) i.e. 15 marks
Marks ObtainedJEE/CGPET Marks
Fileupload all your marksheet and passport size photograph
Upload
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