Home
REGISTRATION FORM
COURSE TYPE :
*
Under Graduate
Post Graduate
COURSE NAME/ CLASS :
*
YEAR/SEMESTER :
*
STUDENT TYPE :
*
Back Paper
Carry Forward
Ex-Student
Improvement
Lateral Entry
Private
Regular
Single Subject
Special Back
Supplementary
Year Back
ENROLLMENT NO :
*
Roll No :
*
Student Name :
*
Student Name Hindi :
*
FATHER NAME :
*
FATHER NAME HINDI:
*
MOTHER NAME :
*
MOTHER NAME HINDI:
*
D.O.B. :
*
GENDER :
*
Select
Male
Female
CATEGORY :
*
Select
Gen
OBC
SC
ST
SUB CATEGORY :
*
Select
Freedom Fighter
Ex. Service Man
Kashmiri Migrants
Military Personel
Physically handicaped
Not Applicable
RELIGION :
*
Select
Buddhism
Christianity
Hinduism
Islam
Jainism
Sikhism
Zoroastrianism
MOBILE :
*
EMAIL ID :
*
AADHAR NO :
*
CASTE :
*
CASTE :
*
COLLEGE NAME :
*
SUBJECT NAME
(DETAIL OF SUBJECT/PAPER)
Details of Previous/Last Qualifying Examination
NAME OF EXAMINATION :
*
Year :
*
Roll No. :
*
INSTITUTE/COLLEGE :
*
MARKS OBT. :
*
MAX MARKS :
*
Details of Previous Qualifications
(
)
MAILING ADDRESS OF CANDIDATE
CORRESPONDING ADDRESS :
*
DISTRICT/CITY :
*
PIN CODE :
*
STUDENT UPLOAD PHOTO AND SIGNATURE
CANDIDATE PHOTOGRAPH
*
CANDIDATE SIGNATURE
*