Fields marked with (*) are mandatory Applicant’s Name* Sex* MaleFemale D.O.B* Day12345678910111213141516171819202122232425262728293031MonthJanFebMarAprMayJunJulAugSepOctNovDecYear1950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025202620272028202920302031203220332034203520362037203820392040204120422043204420462047204820492050 Father's Name* Mother's Name* Phone Number Mobile Number* Email* Address* City* Pincode* State* Nationality Qualification Details Qualification* Institute/School/ University* Year of Passing* Percentage of marks obtained* Breaks* Prefered Courses Course 1* Course 2 Course 3 Prefered Colleges College 1* College 2* College 3*
