CSRD-Form

👤 Personal & Contact Information * Required fields

1Course Opted For

2Salutation

3First Name

4Middle Name

5Last Name

6Email Address

7Candidate Mobile

Exactly 10 digits

8WhatsApp Number

9Parent / Guardian Mobile

10Alternate Mobile

11Communication Address

12City

13State

14PIN Code

15Date of Birth

16Age (Years)

17Gender

Male Female Transgender

18Nationality

19Category

20Religion

21Caste

22Marital Status

Single Married Divorced Widowed

23Aadhaar Number

Exactly 12 digits

24How did you hear about us?

25. Permanent Address same as Communication Address

25Permanent Address

🎓 Educational Qualifications

Examination	Board / University	Subject / Stream	Year	Marks / %	Result / Grade
2610th (SSC)*
2712th (HSC)*
28Graduation*
29Post-Grad (if any)

30Degree Completed / Appearing

31Specialization / Major

32Work / Volunteer Experience

📎 Document Uploads JPG, PNG, PDF · Max 2 MB each

📷

33Passport Size Photograph *

image/* · Max 1 MB

✓ Selected

✍️

34Signature

image/* · Max 500 KB

✓ Selected

📄

3510th (SSC) Marksheet *

.pdf,image/* · Max 2 MB

✓ Selected

📄

36HSC Marksheet *

.pdf,image/* · Max 2 MB

✓ Selected

🎓

37Graduation Marksheet or Second-Year Graduation Marksheet *

.pdf,image/* · Max 2 MB

✓ Selected

📖

38Biographical Sketch

.pdf,.docx · Max 2 MB

✓ Selected

📋

39Documentary Proof of Category (as per Col. No. 19) *

.pdf,image/* · Max 2 MB

✓ Selected

💼

40Experience Certificate

.pdf,image/* · Max 2 MB

✓ Selected

I hereby declare that all information furnished is true, complete and correct to the best of my knowledge. I understand that misrepresentation may lead to cancellation of my admission without prior notice.

💳 Review & Payment

👤 Personal Details

🎓 Academic Details

Application Fee

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Non-refundable | Select course on Step 1 to see fee

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Application Submitted Successfully!

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CSRD-2025-XXXXX

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📄 Download Application Form (PDF)

BPHES-CSRD-ISWR, Ahilyanagar

BPHES-CSRD-ISWR, Ahilyanagar

👤 Personal Details

🎓 Academic Details

Application Submitted Successfully!