Use below form to enroll and make the payment online [] 1 Step 1 1. Personal Information Nameyour full name E-Maila valid emailemail Mobile Numberyour full name Alternate Mobile Numberyour alternate mobile number DOByour date of birthdate_range Genderpick one!GenderMaleFemaleThird Gender Categorypick one!CategoryGeneralOBCSCST Religionpick one!ReligionHinduismIslamChristianitySikhismBuddhismJainismOther religions Nationalityyour nationality Languagepick one!Martial StatusUnmarriedMarried Blood Groupyour blood group 2. Family Information Father's Father's Nameyour father name Father's Email Addressvalid email address Father's Mobile NumberFather's Mobile Number Mother's Mother's Nameyour mother name Mother's Email AddressMother's Email Address Mother's Mobile Numberyour mother mobile no. Guardian's Guardian's Nameyour guardian name Guardian's Email AddressGuardian's Email Address Guardian's Mobile NumberGuardian's Mobile Numberemail 3. Address Present Address Present Address Line 1more details0 / Present Address Line 2more details0 / Present Cityyour present city Present Pin Codeyour present pin code Present Stateyour present state Present Countryyour present country Permanent Address Permanent Address Line 1more details0 / Permanent Address Line 2more details0 / Permanent Cityyour permanent city Permanent Pin Codeyour permanent pin code Permanent Stateyour permanent state Permanent Countryyour permanent country 4. Educational Qualifications Class 10th Boardyour board Instituteyour full name City/Placeyour full name Year of passingyour full name Percentageyour full name Institute Stateyour full name Class 12th Boardyour full name Instituteyour full name City/Placeyour full name Year of passingyour full name Percentageyour full name Institute Stateyour full name Graduation Year of Enrollmentyour full name Year of Passingyour full name Title-UGTitle-UG Area of SpecializationArea of Specialization Durationyour full name Name of Instituteyour full name Institute CityInstitute City Institute StateInstitute State Board/Universityyour full name Percentage (Equivalent Percentage in case of GPA) Post Graduate Year of Enrollmentyour full name Year of Passingyour full name Title-PGTitle-PG Area of SpecializationArea of Specialization Name of InstituteName of Institute City of InstituteCity of Institute Institute StateInstitute State Board / UniversityBoard / University Percentage (Equivalent Percentage in case of GPA)Percentage (Equivalent Percentage in case of GPA) Other Course(s) Title of the Courseyour full name Year of Passingyour full name Area of SpecializationArea of Specialization Name of the Instituteyour full name City of Instituteyour full name Institute StateInstitute State Percentage (Equivalent Percentage in case of GPA)Percentage (Equivalent Percentage in case of GPA) 5. Work Experience Organization Nameyour full name Designationyour full name Start DateStart Datedate_range End DateEnd Datedate_range Total Experienceyour full name Last Annual Salaryyour full name Nature of responsibilitiesyour full name 6. Extra Curricular Activities NCC/NSS Certificateyour full name 7. Other Details Why have you chosen to study at XIME ? Commentsmore details0 / How did you come to know about XIME ? Commentsmore details0 / Do you have any existing medical conditions or concerns ? Commentsmore details0 / Do you have any other specific medical need ? Commentsmore details0 / Upload Photograph (Required)Maximum Upload is 4MB Fileuploadcloud_uploadUpload Upload Signature (Required)Maximum Upload is 4MB Fileuploadcloud_uploadUpload MAKE PAYMENT OF APPLICATION FEE OF RS. 500 keyboard_arrow_leftPrevious Nextkeyboard_arrow_right
