Application for Admission to Distance Education Programmes 2019
Fee paid will not be refunded under any circumstances
Application No
Application Date
Course Name
Name of the Student (same as in the SSC/Maticulation Certificate) in Capital Letters
Father's Name
Mother's Name
Permanent Address
Address for Correspondance
Phone / mobile No
Email ID
Date of Birth
Gender
Select
Male
Female
Others
Nationality (Indian / Foreign)
If Foreign national, name of the country
Particulars of Past academic record (from Bachelor's Degree onwards)
Sr.#
Examination
University / College
Month & Year of Passing
Subjects Studied & Passed
Maximum Marks
Marks Obtained
Percentage
Division
1
Delete
Previous and present professional experience if any
Sr.#
Designation and nature and job done
Organization / Institution Total No. of years worked
From(month & year)
From(month & year)
1
Delete