ADMISSION REGISTRATION FORM - LR GROUP OF INSTITUTES

Name (as in High School or equivalent Certificate) *

First

Last

Father's Name *

Mother's Name *

Gender

Category

Nationality

Religion

Date of Birth *

dd/mm/yyyy format

Physically Disable

AADHAR CARD NUMBER *

Course Applied for *

Admission Category

Will you be Applying for Education Loan

Hostel Accommodation Required

Bus Facility Required

Qualifying Test

if any other entrance exam, please specify:

E-Mail-id of Applicant *

Mobile No. of Applicant *

Father's Contact no: *

Father's Email

Father's Profession & Organization *

Enclosures Year &

Annual Income of Father *

Mother's Contact No:

Email-ID of Mother

Mother's Profession & Organisation

Annual Income

Correspondence Address *

(Write your complete address in CAPITAL LETTERS)

Permanent Address *

(Write your complete address in CAPITAL LETTERS)

Qualifications(10th or equivalent)

Subjects *

Name of Board/University *

Roll Number *

Year of Passing *

Marks Obtained

Percentage/CGPA *

Name of Institute

Qualification 12th (+2)

Subjects

Name of Board/University

Roll Number

Year of Passing

Marks Obtained

Percentage/CGPA

Name of Institute

Qualification : GRADUATION

Subjects /Specialization

Board/University

Roll Number

Passing Year

Marks Obtained / Maximum Marks

Percentage/ CGPA

Institution Name

Enclosures Check List : LISTED ARE ITEMS WHICH MUST ACCOMPANY AT THE TIME OF ADMISSION TO ENSURE PROMPT AND ACCURATE PROCESSING 1. PHOTOGRAPGH 2. CHARACTER CERTIFICATE 3. MIGRATION CERTIFICATE 4. TRANSFER CERTIFICATE 5. SELF ATTESTED PHOTOCOPY OF QUALIFYING TEST SCORE CARDS and SELF ATTESTED PHOTOCOPY OF EDUCATIONAL MARK SHEET

** Registartion amount can be refunded in case cancellation initiated by student **