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Online Application Form for Distance Learning Programme (Session
2017-18
)
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are Mandatory Fields
Important:
After successful registration, Kindlly Send your duly filled Online Application Form to our Corporate Office with passport size color photograph pasted and duly signature by you & your parents/guardian .
Basic Information:
Registration Date
::
Saturday, April 21, 2018
Password
*
::
(Min. 4 chars. Max: 15 chars.)
Confirm password
*
::
How did you come to know about ALLEN
*
::
PLEASE SELECT
ACADEMIC MAGAZINES
EX-ALLEN STUDENTS
FM RADIO
FRIENDS / RELATIVES
HOARDINGS
INTERNET
NEWS PAPER (ENGLISH)
NEWS PAPER (HINDI)
OTHER MAGAZINES
OTHER MEDIA
Courses Applied for:
Education Board
*
::
PLEASE SELECT
CBSE
ICSE
RAJ
MP
UP
CG
BIH
HAR
JHA
PUN
MAH
GUJ
OTH
Current Class
*
::
[PLEASE SELECT]
VI
VII
VIII
IX
X
XI
XII UNDERGOING / PASSED
Stream
*
::
Course
*
::
Personal Information:
Full Name of the Student
*
::
Date of Birth
*
::
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
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22
23
24
25
26
27
28
29
30
31
00
01
02
03
04
05
06
07
08
09
10
11
12
0000
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
(dd/mm/yyyy)
Gender
::
[PLEASE SELECT]
MALE
FEMALE
Medium:
[PLEASE SELECT]
ENGLISH
HINDI
Category
*
::
[PLEASE SELECT]
GEN
SC
ST
OBC
PH
DP
PM
OTHER
Father's Name
*
::
MR.
DR.
Mother's Name:
*
MS.
DR.
Father's Occupation
*
::
[PLEASE SELECT]
ADVOCATE
AGRICULTURE
BUSINESS
DOCTOR
ENGINEERING
GOVT. - ARMY
GOVT. - OTHER CENTRAL GOVT.
GOVT. - OTHER STATE GOVT.
GOVT. - POLICE
GOVT. - RAILWAY
GOVT. - REVENUE
MP / MLA
PRIVATE SERVICE
PUBLIC SECTOR
TEACHING
OTHER
Mother's Occupation:
*
[PLEASE SELECT]
ADVOCATE
AGRICULTURE
BUSINESS
DOCTOR
ENGINEERING
GOVT. - ARMY
GOVT. - OTHER CENTRAL GOVT.
GOVT. - OTHER STATE GOVT.
GOVT. - POLICE
GOVT. - RAILWAY
GOVT. - REVENUE
HOUSEWIFE
MP / MLA
PRIVATE SERVICE
PUBLIC SECTOR
TEACHING
OTHER
NTSE Stage-1 Roll No.(if Course is NTSE II Stage)
Blood Group
::
PLEASE SELECT
A+VE
A-VE
B+VE
B-VE
AB+VE
AB-VE
O+VE
O-VE
Aadhar card no.
::
Contact Information:
Permanent / Residential Address
*
::
City
*
::
District:
State:
*
::
PLEASE SELECT
ANDAMAN & NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATISGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
PIN:
*
Country:
INDIA
STD Code & Phone No 1:
::
Eg.: 744-2436001
Phone No 2:
Mobile No.
*
::
(Max. 10 Digits, do not add 0 or Country Code)
Alternate Mobile No.
::
(Max. 10 Digits, do not add 0 or Country Code)
E-mail address
*
::
Enter Below Code
*
::
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