XII Registration Form for Provisional Admission 2019-20

• Category*
  Select category Open खुला वर्ग OBC -Other Backward Class : इतर मागास वर्ग SC & SC converts to Budhhism  अनुसुचीत जाती ST incl those living outside specified areas अनुसुचीत जमाती SBC - Special Backward Class :   विशेष मागास प्रवर्ग VJ (Vimukta Jati /Denotified Tribes)  भटक्या जमाती - अ NT-B (Nomadic Tribes - B)   भटक्या जमाती - ब NT-C (Nomadic Tribes-C) भटक्या जमाती - क NT-D (Nomadic Tribes-D) भटक्या जमाती - ड
• Special Category(Special Quota)*
  Select special category Not Applicable(NA) Ex-service Man(Military) Sport(National Level Only) Fine Art,Music,Painting (National Level Only) Sport(State Level Only) Fine Art,Music,Painting (State Level Only) Physically handicapped (PH)
• Religion*
  Select religion Hindu Muslim/Islam Christian Sikh Buddh Jain Other
• Sub Caste*
• Birth Place *
• BPL Card(Below poverty level) दारिद्र रेषेखालील * Yes No

• * Required fields

• Address line 1*
• Address line 2(Landmark) *
• City/Village*
• Taluka/Area*
• District*
• State *
  Select State Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal
• Pin code *

• * Required fields

• Select Medium Of Language*
  Select medium of language English Marathi Hindi Other
• Select Passing Year*
  Select passing year 2019 2018 2017 2016 2015 2014 2013 2012
• Last Year College Name?**
• Other*
• Whether Pass in Single Attempt* Yes No
• Stream*
  Select Stream Arts Commerce Science MCVC
• Marks*please enter converted marks out of 100

  Subject Name	Mark Obtained	Mark out of
  	Select Your Grade A B C D
  		Enter Sport/Drawing/Grace mark only
  Total
  Percentage	Total Per(%) :0%

• * Required fields

• Science
• Commerce
• Arts
• HSVC(MCVC)