Distance Education Application

Application Form

Permanent Address

Address for Correspondence

Gender*
Are you physically challenged?*
Do you have sponsorship?*

Particulars of Academic Record

Upload the certificate (.pdf format file with size between 2kb and 500kb only)*
Upload graduation certificate (.pdf format file with size between 2kb and 500kb only)*
Upload photo* (jpg format file with size between 2kb and 500kb only)

Upload signature* (jpg format file with size between 2kb and 500kb only)