Applicant Profile Registration

* marked fields are mandatory.

Personal Details
Applicant's First Name* (Don't write Mr./ Mrs./ Miss)
Applicant's Last Name
Father's Name* (Don't write Mr.)
Mother's Name* (Don't write Mrs.)
Date of Birth (dd/mm/yyyy)*
Male Female Transgender
(As per class 10th mark sheet or birth certificate)
अनारक्षित (UR)
आर्थिक रूप से कमजोर वर्ग (EWS)
अनुसूचित जाति (SC)
अनुसूचित जनजाति (ST)
अन्य पिछड़ा वर्ग - क्रीमीलेयर को छोड़कर (OBC)
Mobile No*
(Please enter your mobile and email to get password.)
Login Details
Confirm password*
(Note:- Password requires at least 1 lowercase letter, 1 uppercase letter, 1 number, 1 special character, but cannot contain whitespace and must be at least 8 characters long.)