Fields marked with a * are required
  • *Scholarship will be awarded strictly on the basis of entrance test merit.

    • Application No. 10103

      Read the instructions given in the information bulletin carefully before filling this form.

      Fill up the columns completely. Your application is liable to be rejected, if any of the entry is incorrect/not filled.

  • Engineering Pharmacy MBA
    BBA B COM BCA B.Sc.(Bio-Technology) B.Sc.(Micro-Bio) B.Sc.(Bio-Chemistry) B.Sc.(Math) B.Sc.(Biology) B.Lib M.Sc.(Bio-Technology) M.Sc.(CS) M.Com PGDCA
    • Patna
    • Samastipur
    • Chhapra
    • Dhanbad
    • Gorakhpur
    • Datia
    • Jhansi
  • Madhya Pradesh Quota All India Quota
  • Detail of Educational Qualification

  • Examination Passed Subjects Board/University School/College Year of Passing Aggregate
    High School(X)

  • I hereby declare that the information given above is correct to the best of my knowledge and I agrre that my scholarship and admission, if grante will be on the rerms, conditions and rules stipulated by the college. I understnd that my scholarship and admission is liable to be cancelled, if any of my particulars given by me in the application form are subsequently found to be incorrect.

    I agrre that the decision of the college committee on all matters concerning my schollarship and admission will be final and binding on me.

    I understand that my active/passive association, with unlawful organizations is forbiden.

  • NOTE:The examination date and centre details will be mentioned on the admit card. For Schollarship Examination pattern, visit our website: