Registration Form

Student Photo *
your photo

Student Signature *
your photo

Course *

Year/Semester *

Name of Student *

Aadhar No *

Gender *

Date of Birth *

Urban/Rural *

Mobile No *

Email *

Father's Name

Father's Mobile No.

Mother's Name

Nationality *

State *

Category *

Physical Handicapped *

Dependent of Freedom Fighters *

Dependent of Ex-Service Man *

Monthly Income of Father/Mother *

Correspondence Address

Parents Occupation *

Religion *

Sub Category *

Marital Status *

Other (BPL/APL) *

Permanent Address

Educational Details

Name of Last Passed Course's *

Year of Last Passed Course's *

Previous Course Stream

Name of Last Passed Institute/ University *

Examination	Passing Year	Max. Marks	Marks Obtained	Percentage	Board/University	Certificate
High School
Intermediate
U. G.
LLB/Integrated
Other

Upload Domicile Documents

Upload NCC Certificate

Upload Scouts & Guides Certificate

Upload Sport Certificate

Upload NSS Certificate

Upload Caste/EWS Certificate

Upload Ex-Service Man Certificate

Upload Physical Handicapped Certificate

Upload Freedom Fighters Certificate

* Note :

आधार नंबर गलत होने पर आपका नामांकन कॉलेज द्वारा निरस्त कर दिया जायेगा |

I agree with the all Term and Condition Policy and No Pay Back Policy .

Issue related refund contact to College, No refund will provided from gateway or bank side.