Online Application Preferred Stream EngineeringMedical Preferred Course Chse CourseCbse CourseSummer Course Roll No Centre Code Name of the Student Father's Name Occupation Annual Income Mother's Name Occupation Annual Income Date of Birth (DD/MM/YYYY) Gender MaleFemale Category —Please choose an option—GenSCSTOBCPH Correspondence Address Country State City Pin Contact No Email Name of Present School Board BSECBSEICSE Date Place Signature of Student Declaration The information provided in the Registration form is correct to the best of my knowledge Signature of the Parent/Guardian
