Examination Form

Online Registration Form No- 202108180

Step [1/6] : Personal Information (व्यक्तिगत विवरण)

Name of Student (विद्यार्थी का नाम)
(As on Xth Marksheet)
Name of Student
(विद्यार्थी का नाम हिंदी में)

(Type in Roman English) Ex. For राम type Ram,Press Spacebar after each word.
Father's Name
(पिता का नाम)
Father's Name
(पिता का नाम हिंदी मे)
(Type in Roman English) Ex. For राम type Ram,Press Spacebar after each word.
Mother's Name
(माता का नाम)
Mother's Name in Hindi
(माता का नाम हिंदी में)
(Type in Roman English) Ex. For राम type Ram,Press Spacebar after each word.
Date of Birth (yyyy-mm-dd)
जन्म की तारीख
Gender
(लिंग)
Male पुरूष Female स्त्री Transgender विपरीतलिंगी
Medium
Cast/Reservation Category
(जाति की श्रेणी)
Minority
No (नहीं) Yes (हाँ)
Physically Handicapped
(विकलांग)
No (नहीं) Yes (हाँ)
Do You have TC and Migration.
Yes No
Candidates Mobile No.
(मोबाइल नंबर)
E-Mail Address
(ई-मेल )
Upload Photo*
(फोटो अपलोड करे )
(Upload Passport size Photograph) (jpg, gif, png Only) your image
your image
Upload Sign*
(Upload Signature) (jpg, gif, png Only) your image
your image