Registration Form Name of Candidate Upload Your Image Father's Name Mother's Name Date Of Birth Email Id Phone(atleast two no.) Mobile Category(SC/BC/General)SCBCGeneral GenderMaleFemale State Of Domicile—Please choose an option—Andhra PradeshAmaravatiArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJammu and KashmirJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal District Address Academic Detail Secondary Examination Detail: Name of School from which passed Month/Year of Passing Board Max. marks Marks Obtained %age Marks Senior Secondary Examination Detail: Name of School from which passed Month/Year of Passing Stream Board Max. marks Marks Obtained %age Marks Graduation Examination Detail: Name of College from which passed Month/Year of Passing Stream Board Max. marks Marks Obtained %age Marks
