Provisional Admission Form

*Select Program:

*Select Course:

*Student Name:

*Email:

*Phone Number:

*Aadhar Number:

*Permanent Address:

*Correspondence Address: Same as Permanent Address

*Upload Aadhar: Front and back together in single image or pdf (Max 5MB)

Upload Caste Certificate:

Upload Residential Certificate:

Upload Income Certificate:

*DCECE Admit Card / 10th Marksheet / ITI:

*Date of Birth:

*Upload Signature: Only jpg format

*Total Fee Amount:

*Payment Amount (Minimum ₹1,000):

*Due Amount:

GANGA MEMORIAL POLYTECHNIC/ITI/BCA