Admission cum registration Form

Under Distance Education

Affix your latest passport size photograph duly attested by you

CENTER CODE

Enrollment No.
(For Office use)

7. Particulars of Academic Qualification ( Enclosed all the attested copies of the certificate & Mark sheets )

S. NO Name of Examination University/Board Year Division Percentage
1
2
3
4
5

DECLARATION BY THE APPLICANT

I here declare that I have read and considered the conditions of eligibility for the above course, for which I seek admission. I fulfill the eligibility conditions and I have furnished above, the necessary information in this regard. In the event of any information being found incorrect or misleading, my candidature shall be liable to cacellation at ant time and I shall not be entitled to get refund of any fee paid by me. In the event of any dispute it shall be resolved through the mediation by the chairman or a committee constituted under the constitution/arbitration Act 1940 and its decision shall be binding on all concerned.