APPLICATION – FIRST YEAR PRE-UNIVERSITY CLASS

NAME OF THE CANDIDATE: (IN BLOCK LETTERS)

SEX:

DATE OF BIRTH:

NATIONALITY:

MOTHER TONGUE:

RELIGION:

CASTE AND CATEGORY:

CASTE:

SUB CASTE:

NAME OF THE FATHER:

FATHER'S OCCUPATION:

PHONE NUMBER:

ADDRESS:

INSTITUTION IN WHICH PREVIOUSLY STUDIED:

MEDIUM OF INSTRUCTION:

COMBINATIONS PREFERRED:

Language: