ASADI

Admission

Name of the Candidate^*

Email Id^*

Date of Birth^*

Gender^*

Nationality^*

City^*

State^*

Pincode^*

Phone No

Permanent Address^*

Address of Communication

Name of Father/Mother/Guardian^*

Mobile No^*(Parent)

Sl.No	Class	Register No.	Name & Address of the Institute	Name of Board	Year of Passing	Mark/Grade
1	X std
2	XII std

Qualifying Examination^*

If others(Specify)

Special Qualifications

NATA Score

Year

JEE Score

Specify

I, hereby declare that the above particulars are true to the best of my knowledge and belief.

Applicants should bring all original certificates during interview. Students awaiting NATA score should intimate NATA score before 14th June.