Application For Name Correction-2019

 (*) Marked fields are mandatory

Student Details

Course Type* Apply For*
Enrollment No.* Candidate's Name*
Father's Name* Date Of Birth (dd/mm/yyyy)*
Regional Centre* Study Centre*
Passing Year*
Note :- if your Course not Showing in Selected Study Centre,Please Choose Regional Centre as Other and Study Centre as Other.
Percentage of marks* Mobile No.*

Address Details

House No/Colony/City*
District* State*

Fees Details

Application Fee Portal Fee Total Fee
Rs. Rs. Rs.


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