Admission Enquiry Form

Applicant Name (As in X Mark Sheet)*

Father/ Mother/Guardian*

Date of Birth*

Age of the Applicant*

Address

District

Phone Number1*

Phone Number2* (Preferably whatsapp)

Email id*

College Preference*
—Please choose an option—PSR Engineering CollegePSRR Engineering CollegePSR Arts

Select Degree*
—Please choose an option—UGPG

Select Course*
—Please choose an option—Select a Course