Student Enquiry Form:Bettiah CampusPlease fill-up the form properly with maximum available data Please enable JavaScript in your browser to complete this form. Please enable JavaScript in your browser to complete this form. 1 2 3 Interested To Enroll In * Polytechnic Engineering B. Pharm D.Pharm BCA BBA Bachelor of Library Science B. Com Bachelor of Mass Communication Amanat Next Personal Details Please share your personal details.. Student Name * First Last Guardian Name * First Last Phone Number of Student (If Available) Phone Number of Guardian * Address Address Line 1 Address Line 2 City State / Province / Region Postal Code Email Date of Birth SexMaleFemale Next Qualification Details Please share your qualification details. Current Qualification Matric 10+2 Graduation Vocational Name of Board / University Passing Year Marks Obtained (in percentage) Required Documents To Be Attached Aadhar Card Photo Cast Certificate PAN Card Bank Passbook 10th Pass Certificate 12th Pass Certificate Upload Documents Click or drag files to this area to upload. You can upload up to 7 files. Submit
