JEE Admission Form | NEET Admission Form | Vikaas Institute in Mangalore

Admission Form

Student Name *

First

Last

Gender *

Date Of Birth *

Father's Name *

Mobile No *

Mother's Name *

Mobile No. *

Communication Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email *

Board of Studies *

School/College Name *

School/College Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Course *

Optional Language *

Hostel Required *

Marks obtained in your previous course *

Marks Card Copy *

Click or drag a file to this area to upload.

Upload Your Photo *

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Aadhaar Card Photo *

Click or drag a file to this area to upload.

Declaration by the Candidate *

I hereby declare that all the information given by me in this application is true and correct to the best of my knowledge and belief. I also note that if any of the above statements are found to be incorrect or false or any information or particulars have been suppressed or omitted there from, I am liable to be disqualified and my admission may be cancelled. I have read and understood the contents of the Admission . I hereby permit the institute to use, display or transfer any of the details furnished by me in this form for complying with the admission formalities.

Name