INSTRUCTIONS
1. This is the registration page for Admission Booking Cancellation/Withdrawal.
2. Please fill up the form and upload the necessary documents carefully.
3. After submission of registration form and documents upload, you will be redirected to a registration Summary Page.
4. Read the Instructions and Download the Acknowledgement Page of your Registration.

Name of Applicant:

Father's Name:

Mother's Name:

Guardian's Name:

Address:

Contact Number:

Email:

Enrollment Number:

Booking Reference:

Date of Booking:

Payment Amount (if any):

Reason of withdraw/Cancellation:
Reason of Cancellation

Bank Account Details

Bank Account Number:

Name of Account Holder :

Name Of Bank and Branch:

IFSC:

Documents to be Uploaded
File Max Size is 1MB

Signature of Applicant: (Please Upload Jpg file only).

Photo: (Please Upload Jpg file only).

Adhar Card: (Please Upload pdf file only).

Voter ID Card: (Please Upload pdf file only).

Pan Card: (Please Upload pdf file only).

Passbook/Cancel Cheque: (Please Upload pdf file only).

Payment Receipt: (Please Upload pdf file only).