01596-220619, 9461514580
rlcchirawa@gmail.com
New Bus Stand Chirawa
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Online Admission

Online Admission

Session

Institute

Applied For Admission Class

Section/Part

Medium of study

Compulsory Subjects

Choose Optional Subjects

Option A

Name of the Applicant(Mr./Ms.) Required

Date of Birth Required

Gender

Male

Female

Father's Name Required

Mother's Name Required

Mobile no. (For receive information) Required

What’s App no

Aadhar Number

Email Address

Category

Nationality Required

Account Holder Name

Account Number

Bank Name

Branch Name

IFSC Code

Correspondence address

Address Required

District Required

State Required

PIN Code Required

(Same as Above)

Permanent Address

Address

District

State

PIN Code

Academic Qualification

Class	Year	Total Mark’s	Obtained Marks	Percentage of Marks	School/College Name	Board/University

Applicant Photo Required

Applicant Signature (Self Sign) Required

Signature of the Parent/ Guardian Required

Payment Option

Fee Amount
20000.00

Fee amount you want to deposit Required