PM College
Candidate Information
*Program :
*Select Preference :
*Please select a city for Examination Center: Delhi/NCRSonipatKathmanduGuwahatiPatnaRanchi
*Candidate Name :
*Gender:
* Date of Birth :
Aadhar Card No:
*Email Address :
*Mobile No :   (don't Prefix 0 or +91 before the number)
Father's Details :   *NAME                                        MOBILE NUMBER                     PROFESSION
Mother's Details :
Same as Present Address
Present Address : Permanent Address :
*LINE 1 :
*LINE 1 :
LINE 2 :
LINE 2 :
LINE 3 :
LINE 3 :
*CITY :
*CITY :
* PINCODE :
* PINCODE :
* STATE :
* STATE :
EDUCATIONAL QUALIFICATION :
*Are you appearing in XII this year? :
*I agree that at the time of admission , I will present my original marksheet

Sl. No. Class Name of School Subject/Stream Name of the Board Roll Number Marks Obtained/ Percentage/Grade Year

*Is there any gap in your studies :
*Please specify the reason:
*Have you ever appreared in any other Engineer Entrance Exam? :

Sl. No. Name of Entrance Exam Percentage/ Marks Roll No.

Payment Details :

Instruction:

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Amount INR 500


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