Repeat Exam Form

Enrollment No.* Admission Type*   Sponsored   Non-Sponsored
Study Centre Name Block Category* Block*
Full Name of the Applicant (as per certificate)*
Father`s Name (as per certificate)*
Mother`s Name (as per certificate)
Mobile*
Permanent Address*
Date of Birth* Course* Student Photo*
Course Implementing Org.*   WE   MPJAP   TRIBAL`S