Prematric Unclean Registration

Prematric Unclean Fresh Registration Form

* - Indicates mandatory fields

Student Particulars

Student Name*

Academic Year *

Father Name*

Mother Name*

Ration Card No.

Date Of Birth*

Community/Religion*

Caste*

Sub Caste*

Student UID (Aadhar) No*

Whether Disabled or not*

Gender*

Male Female

Parent Occupation Details

Profession of Parents*

Occupation District *

Occupation Mandal*

Occupation Certificate issued by *

School Particulars

School District*

School Mandal*

School*

Present Studying Class*

Medium*

Admission No*

Admission Date*

Previous Class*

Grade/Percentage of Previous Class*

Student Bank Account Details

Bank Name*

Branch Name & IFSC Code*

Student Bank Account No*

Re-Enter Student Bank Account No*

Address

District*

Mandal*

Village*

Care Of*

Building*

Street*

Land Mark*

Locality*

Pin Code*

Mobile No*

Re-Enter Mobile No*

Mobile No Belongs to*

Caste Certificate Details

MEE SEVA No.(Caste Certificate)*

Meeseva No:

Approved Date :

Applicant Name :

Father Name:

District/State:

Mandal :

Scanned Documents

Image of your Passport Photograph*

[Size between 15kb-30kb,only: .JPEG,.JPG]

Scanned Bank Pass Book (First Page)*

[Size between 50kb-100kb,only: .JPEG,.JPG]

Scanned UID (Aadhar)*

[Size between 50kb-100kb,only: .JPEG,.JPG]

Upload Scanned Occupation Certificate *

[Size between 50kb-100kb,only: .JPEG,.JPG]

Upload Scanned Bonafide Certificate *

[Size between 50kb-100kb,only: .JPEG,.JPG]

Upload Scanned Date of Birth Certificate *

[Size between 50kb-100kb,only: .JPEG,.JPG]

Captcha*

Prematric Unclean Fresh Registration Form

Student Particulars

[Size between 50kb-100kb,only: *.JPEG,*.JPG]

Parent Occupation Details

School Particulars

Student Bank Account Details

Address

Caste Certificate Details

Scanned Documents

[Size between 15kb-30kb,only: *.JPEG,*.JPG]

[Size between 50kb-100kb,only: *.JPEG,*.JPG]

[Size between 50kb-100kb,only: *.JPEG,*.JPG]

[Size between 50kb-100kb,only: *.JPEG,*.JPG]

[Size between 50kb-100kb,only: *.JPEG,*.JPG]

[Size between 50kb-100kb,only: *.JPEG,*.JPG]

Warning

[Size between 50kb-100kb,only: .JPEG,.JPG]

[Size between 15kb-30kb,only: .JPEG,.JPG]

[Size between 50kb-100kb,only: .JPEG,.JPG]

[Size between 50kb-100kb,only: .JPEG,.JPG]

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