Mananagement System

ACADEMIC SESSION-2017-18

Application Form for Admission to Various Courses in the University Campus

A COPY OF THIS FORM ALONG WITH THE COUNSELING/ ENTRANCE TEST Rs. 300/- (Rs. 150/- for SC/ST) IN DD, PHOTOSTAT/ SCANNED COPIES OF SCHOOL / DEGREE CERTIFICATES, AND CERTIFICATE INDICATING DATE OF BIRTH, BE SUBMITTED AT THE TIME OF COUNSELING/ ENTRANCE TEST.

Course Applied For :
01. Course  
02. Department :  
02. Details of Application Fees :
Mode of Payment
Amount :  
Date of Payment/ DD Date (DD-MM-YYYY):
Deposit Journal No/ DD No. :  
Bank Name :  
Bank/Branch code :  
Branch Name/City Name :
Personal Details :
03. Name in Full (As per 10th Marksheet):  
04. Sex: 05. Category:

06. Date of Birth (DD-MM-YYYY):
Place of Birth:
07. Nationality :
Contact Details :
08. Address For Correspondence :  
09. Email ID     10. Contact No. :
Parent Details :
11. Mother's Name
12. Father's Name/ Husband's Name
Photo & Sign :
Photo (JPEG/JPG Only, Not More Than 60kb):     Sign (JPEG/JPG Only, Not More Than 60kb):    
13. Education Qualifications:
Edu.Qualification
Board/Univercity
Year
Marks
/
Out of
%Marks
Result
Subjects Studied
/
/
/
/
/
/
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