Please fill the below form

Student Hotspot Agreement Form

Student Name *
Select Course *
Select Semester *
Register Number *
Mobile Number *
Email *
Select Gender *
Select District *
Place *
Ward Number
Did you travel to foreign country/other states in last 14 days: *
Have you been in contact with people being infected, suspected or diagnosed with COVID-19? *
Verify your area is hotspot or not. *Click Here to Check
Guardian Name *
Guardian Mobile *