Fees collection
Apllicant's Personal Details
Name
*
Date of Birth
*
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
March
April
May
June
July
August
Sept
Octo
Nov
Dec
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Gender
*
Male
Female
Transgender
Blood Group
Undefined
A-
A+
B-
B+
0-
O+
AB-
AB+
Religion
*
Hinduism
Islam
Christianity
Sikhism
Buddhism
Jainism
Others
Nationality
Indian
NRI
Others
Marital Status
Married
Unmarried
Widow
Divorced
PH
No
Orthopaedically handicapped/Cerebral palsy
Speech and hearing disabled
Visual disabled
Caste
*
General
OBC-A
OBC-B
SC
ST
Sub-Caste
Father's Name
*
Mother's Name
*
Father's Ocupation
Not Employed
Govt. Service
Private Service
Businessman
Retired
Self Employed Professional
Mother's Ocupation
Not Employed
Govt. Service
Private Service
Businessman
Retired
House Wife
Guardian's Name
*
Relationship with the Guardian
Father
Mother
Sister
Brother
Uncle
Aunt
Grand Father
Grand Mother
Husband
Guardian's Mobile No
Annual Family Income
If,BPL (BPL Number)
Minority
Yes
No
Contact Details
Phone with STD
Mobile
*
Emergency Number
Email
Address1
Address2
State