Student Registration Page

Select Campus : *

Applying for Internship/placement on the basis of : *

CIN Number : *

Year of Course Commencement : *

Name : *

Gender : *

Male

Female

Transgender

Date of Birth : (DD/MM/YYYY) *

Religion : *

Roman Catholic

Christian (XT)

Hindu

Islam

Sikh

Jain

Buddhist

Other

Community : *

General (GEN)

Scheduled Caste (SC)

Scheduled Tribe (ST)

Other Backward Class (OBC)

Differently Abled :

Physically Handicapped/Challenged (PH)

Disability (%) :

Personal Details :

Photo & Signature :

Upload your Current Color Photo (JPEG): * Image must be within 100 KB in size	Upload Profile Photo (Business)
Signature (JPEG): * Image must be within 80 KB in size.	Upload Signature
College IDENTITY CARD (FRONT) (JPEG): * Image must be within 200 KB in size.	Upload Identity Card (Front)

I declare that information provided in this application form is true and I have not concealed any information that is asked for.