* (Enter your name as per 10th/12th/degree mark list).

Wheather Hostel Accommodation is required ?  
Exam Board/University Year Passed Percentage Name of the college last attended
First Degree
PG Degree(PL mention)

Have a work experience?  
Organization Designation Period Duration

I declare that, the information given by me in this application is true.

I have not been deberred from appearing at any Examination held by any stetutory examination authority in india.

I am aware of the rules,acts and laws towards my studentship at this institute and hereby confirm to abide by the same.

I undertake that so long as I am a student of this Institute.I shall not do anything inside or outside the Institute which may result in-disciplinary action against me.

I fully understand that the Director of this Institute shall have right to expel me from the Institute for any infringement of the rules of conduct and discipline.

DATE: 04/06/2023

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