Personal Details
Reg. Date Academic Year
First Name Date of Birth
Surname

Address
Father's Name

Gender
PHC Telephone (Res)
Location Telephone (Office)
Category
SSC Details
SSC Type Maths Science English Total
SSC Class Marks Obtained
Year of Passing Out off
Intermediate Drawing Converted
     HSC Passed?
HSC Details
HSC Maths Physics Chemistry Total
Class Obtained
Year of Passing Out of
Vocational Subject PCM Total
Order of Preprrence (Courses)
Computer Technology: Electronics and Telecommunications: Information Technology: Electronics: