Mobile No./Registration Id:
Course:	SELECT 10+1(Arts) 10+1(Commerce) 10+1(Medical) 10+1(Non-Medical) 10+2 BA BCA BBA B.Com. B.Sc. (Medical) B.Sc.(Non Medical) B.Voc.(Comp.Graphics Designing) B.Voc.(Food Processing Eng.) M.Sc.IT M.Sc.IT-LE M.Com. M.Sc.(Math) MA(English) MA(Punjabi) MA(History) PGDCA B.Ed.
Candidates's Name:
Father's Name:
Mother's Name:
Date of Birth:
Category:	General Sc Obc Handicaped RIOT VICTIM FREEDOM FIGHTER DEFENCE PERSONNEL
Whatsapp.No.:
Email-ID:
Address:
Fill Details of Last/Qualifying Examination
Exam Passed:	10th 10+2/Diploma BA/B.Sc./BCA/BBA/B.Com. PGDCA MA/M.Sc. Other
School/College:
Year:
Roll No.:
Board/University:	PSEB CBSE HBSE Punjabi University Other
Last/Qualifying Exam.     (Passed/Appeared)		Appeared
		Passed
Marks Obtained:
Total Marks:
Percentage: