Lateral Entry Application Form

Please fill the form below for lateral year admission.

Contact Details :

Student Name* : (As per SSLC/+2/ITI Mark Sheet)
Father/Guardian Name* : (As per Transfer Certificate)
Mobile No* :

Student Details :

Date of Birth:
AADHAR No: (12 digit)
Gender :

Communication address:

Address 1: (Apt/Door No)
Address 2: (Street Name)
Town/City :
State :
Pincode :
Email ID :(optional)

Other Details

Mother Tongue :
Nationality :

Education

Qualification Marks Maximum Marks Reg No Month and Year of Passing
SSLC 500
HSC 600
ITI (2 Years) 700


Marks obtained in Qualifying Examination





Course Preference:

CHOICE 1: CHOICE 2: