B. R. KHOKHAR MEMORIAL SHIKSHAN SANSTHAN
Online Registration
Personal Details
Applied For:
Applicant Name:
Date of Birth:
Gender: Male Female
Category:
Nationality:
Mother's Name:
Father's/Guardian Name:
Permanent Address:
Correspondence Address:
District:
State:
Pin Code:
Contact No:
Email Id:
Academic Qualification
ExaminationBoard/UniversitySubjectsYear of PassingPercentage of Marks
10th
12th
Graduation
Photograph(Passport Size Only):
Signature:
Payment Option