GNM Course - Online Registration

Name Name * First Last
Email *
Mobile *
Present Postal Address Present Postal Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Permanent Address same as Present Address
Permanent Postal Address Permanent Postal Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Sex *

Sex Male Female
Age *
Must be a number between 15 and 45
Date of Birth Date of Birth / DD / MM YYYY
Religion *
Caste
Whether *

Whether Married Single Widow
Height in Meters
Weight in Kg
Educational Qualifications
Name and Appearence for Plus Two/Eqiuvalent
Marks for Plus Two / Equivalent

Class/Percentage of Marks/Equivalent Exam
a) Physics *
b) Chemistry *
c) Biology *
Total *
OR
Marks for Plus Two /Equivalent in Other Subjects with % of marks
Name & Address of the Gurdian Name & Address of the Gurdian
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Relation with Guardian
Occupation of Guardian
Income of Guardian
Declaration *

Declaration I hereby declare that i have carefully gone through the prospectus and I promise to abide by the rules and regulations of the institution.I further declare that I have no physical or mental disability that this quality me for the admission and that the statement made by me in the application and documents produced in support that are true and correct to the best of my knowledge
Scan and Pay Registration Fee of Rs 200
Payment Amount
Transaction Reference
Payment Reference File

Attach Files
Plus Two /Equivalent Mark List *

Attach Files
Type the letters you see in the image below.

GNM Course - Online Registration

GNM Course - Online Registration

Marks for Plus Two / Equivalent

OR

Scan and Pay Registration Fee of Rs 200