APPLICATION FOR B.T.C. 2015-16

APPLICANT'S NAME (max 30 characters a-z and A-Z)
FATHER'S NAME (max 30 characters a-z and A-Z)
MOTHER'S NAME (max 30 characters a-z and A-Z)
DATE OF BIRTH
GENDER Male Female
CONTACT NO.
PERMANENT ADDRESS


CORRESPONDANCE ADDRESS


CATEGORY General OBC SC ST
SPECIAL CATEGORY (max 30 characters a-z and A-Z)
SUBJECT ARTS / COMMERCE SCIENCE / AGRICULTURE
QUALIFICATION






Sr.No. Exam Board/University Year Roll No. Marksheet No. Certificate No. Marks Obtained Total Marks Percentage
1
2
3
(50 char max) (In Numeric) (In Numeric) (In Numeric) (In Numeric) (In Numeric) (In Numeric) (In Numeric)
PHOTO ID PAN Card Domicile Certificate Aadhar Card Voter ID Card Bank Pass Book Passport N/A
PHOTO ID NO. (max 30 characters alphanumeric)
UPLOAD PHOTO (size : 30 * 30 pixels )