(*) this fields are mandatery
Beneficers Registration


*Name :
 
*Date of Birth :
 
*Sex :
 
*Address :
 
Landline No :
 
*Mobile No :
 
*Religion :
 
Caste :
 
*Father Name :
 
Father Qualification :
 
*Father Occupation :
 
*Mother Name :
 
Mother Qualification :
 
*Annual Income :
 
*Name of the School(SSLC) :
 
*Total marks in SSLC :
 
Name of the School(HSS or 12th) :
 
Total marks in 12th :
 
*Name of College :
 
*Course Name :
 
*Are you staying in hostel(Yes or No) : Yes No
 
*Exam fees per Annum :
 
 
*Only DOTE1 students can applicable