Online Application Form

ONLINE APPLICATION FORM

Full Name*

Date of Birth*

Gender*

Place of Birth*

Country*

State*

Religion*

Nationality*

Upload Passport Size Photo *

No file chosen

(File size to be within 100 KB)

Mother Tongue*

Upload Passport Size Photo *

No file chosen

(File size to be within 100 KB)

Residential Address for communication*

Pincode*

Mobile Number*

+91

Email*

Father's name*

Mother's name*

Occupation*

Annual Income*

Permanent Address*

Mobile Number*

+91

Pincode*

Email*

Name of Local Guardian

Mobile Number

+91

Permanent Address

Course Preferred*

10 th Standard or Equivalent

Year of Passing*

Affiliating Body/University*

12 Std / PUC or Equivalent

Year of Passing

Affiliating Body/University

Graduation Level

Year of Passing

Affiliating Body/University

Do you want Hostel Accommodation?*

Instructions:

All Students must fill up the Online Application Form and pay Rs 515/-. This amount will be discounted from the total course after Admission Confirmation.
Submitting Online Application Form only is not Admission Confirmation. Please read the Admissions Procedures.
After submitting the Online Application Form, the Student will receive a verification phone call and email detailing the Admissions Procedures to be followed.
For any further clarifications please speak to one of our Admission Counsellors – Mr PM Paul, Mr Benil Benjamin or Mr Inder Anand or post your query for Admission Enquiry here.

Declaration by the Candidate

I hereby certify that the information contained in this online registration form is complete and accurate, and I understand that submission of inaccurate information may be sufficient cause for denial of admission or termination of enrolment. I shall abide by the Rules and Regulations of the Academy.