'*' Marks fields are Mandatory
1. Course Aplied *
2. Applicant's Name*  
(Name as per Matriculation Examination Certificate)
3. Date of Birth *  
4. Email ID *  
  All applicants must provide a valid Email Id (Gmail) and Mobile No. If you do not have an email id in Gmail, kindly open a Gmail id. It will take a few minutes to create. (Other E-mail Ids are not accepted)
5. Retype email ID *
6. Mobile No *  
    (Please do not prefix 0, +91)