Bulk application Entry Form
Name of the Group Representative
Required
Enter Valid Name. Do not use special characters
Address for Communication
Required
Enter Valid Address
Rep's Date of Birth
Required
Enter Valid Date
Gender
M
F
Gender Required
Phone
Required
Enter valid Phone Number
Email
Required
Enter Valid Email
College
Required
Enter Valid Name (Limited-50 letters).Do not use special characters
Course Eg: BE ECE
Required
Enter Valid Name. Do not use special characters
College Location
Required
Enter Valid Name. Do not use special characters
Year Studying
I Year
II Year
III Year
IV Year
Required
Aadhar No
Please enter only Number without space
Category
OC
OBC
SC
ST
Required
Select Batch
Required
Verification Code
Enter Verification Code
Enter Valid Verification Code.
No of members in your team excluding the group representative
Required
Value greater than 0 is required
Please Enter Numeric in Member Count
Note
:Single DD could be given for all the members and Group representative