RASHTROTTHANA VIDYA KENDRA,DHARWAD

NOTE:

Kindly use Google Chrome or Mozilla Firefox to fill in the Application Form.
Fields marked with * are mandatory.

more details contact 0836-2485127, 9448284617

Admission for course *	DISE No.	Student ID	Reference Number
Personal Information
Student Name *	Surname	email Id
Gender Male Female
Place of Birth:	Date of Birth * / /	Parmanent Address
MobileNo *	Mother Tongue	Student Aadhar Number*
Religion	Caste	Category
State *	district *	taluk *	City/Village *
Studied Board *	STS NO*	MEDICAL ISSUES (IF ANY)
Father's Details
Father's Name	Occupation	Father's Income
Qualification	Contact No *	Aadhar Card No.*

Mother's Details
Mother's Name	Mother's Occupation	Mother's Income
Mother's Contact No	Mother'sQualification	Aadhar Card No.*
Correspodence Address
Same as parmanent address
Declaration: I hereby affirm that the particulars given in the Online Application form are true and correct to the best of my knowledge and belief. I agree to abide by the rules and regulations of the institution.