APPLICATION NO :

APPLICATION FORM
All * fields are mandatory
Diploma Entrance Competitive Examination (Lateral Entry) - 2020



*APPLICANT'S NAME:

(Name as recorded in the Matriculation/Secondary Examination Certificate.
Do not use Mr./Shri/Dr etc.)



*FATHER’S /GUARDIAN’S NAME


(Father's Name as recorded in the Matriculation/Secondary Examination Certificate. Do not use Mr./Shri/Dr etc.)



*MOTHER'S NAME


(Please do not use any prefix such as Smt./Mrs. etc.)



*DATE OF BIRTH


(DOB should be same as in 10th Certificate)



*GENDER



*RESIDENTIAL STATUS



*CATEGORY







*DO YOU WANT TO AVAIL FOR TUTION FEE WAIVER (TFW) SCHEME


(For details see, Para 8 of the Information Bulletin)



*PERSON WITH DISABILITIES (PWD)







*ANNUAL FAMILY INCOME



*WHETHER YOU BELONG TO MUSLIM MINORITY



*NATIONALITY



*AADHAAR NUMBER



*APPLY FOR


*1ST CHOICE OF EXAM CITY



*EMAIL ID



*MOBILE NUMBER