Biyani Shikshan Samiti
Name of the Student
*
:
Date Of Birth
*
:
Nationality
*
:
Category
*
:
General
SC
ST
OBC
PH
Address
*
:
Email
*
:
City
*
:
State
*
:
Phone Number
*
:
Father's Name
*
:
Father's Contact Number
*
:
Mother's Name
*
:
Local Guardian's Name
:
Last Qualifying Exam
*
:
Xth
XIIth
Graduation
Other
Remarks
*
:
Percentage in Last Qualified Exam
*
:
Course in which admission is Sought
*
:
Hostel Accomodation Required ?
*
:
Yes
No
Fee Type
*
:
Provisional Registration + Admission Form fees
Application fee
Other
Other Amount
*
:
Amount
*
:
I hereby accept the
Terms and condition