|
1. |
Name of the applicant: |
|
2. |
Date of Birth * |
|
3. |
Place of Birth |
|
4. |
Nationality |
|
5. |
Sex |
|
6. |
Religion |
|
7. |
Belong to * |
|
8. |
Academic Record * |
|
|
Furnish details of certificates/degrees obtained : |
|
|
9. |
Medium of Instruction |
|
10. |
Second language taken at the qualifying examination |
|
11. |
Second language chosen from the under Graduate Program |
|
12. |
Extra Curricular Activities: |
|
13. |
Hostel facility required: |
|
|
|
|