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Addimission Form
First Name/प्रथम नाम*
Last Name/अंतिम नाम*
Program Name/कार्यक्रम का नाम
Course Applied
Bachelor of Education (B. Ed.)
D Pharmacy
Bachelor of Arts B A
Counselling Application No:
Upload Photo,Signature/अपलोड *
विद्यार्थी फोटो और हस्ताक्षर साथ में अपलोड करने के ल्लिक करें
DOB/जन्मतिथि*
DOB Must be in this format (DD-MM-YYYY)
Father's Name/पिता का नाम*
Mother's Name/माता का नाम*
Nationality/राष्ट्रीयता*
Select
INDIAN
OTHER
Gender/लिंग*
Select
Male
Female
Transgender
Category/श्रेणी*
Select Category
General
OBC
SC/ST
Other
Marital Status/वैवाहिक स्थिति*
Select Status
MARRIED
UNMARRIED
WIDOW
MP Domicile/मप्र निवास*
Select Category
Yes
No
Religion/धर्म*
Select Category
HINDU
MUSLIM
SIKH
CHRISTIAN
Mobile Number/मोबाइल नंबर*
Enter ABC Id*
Correspondence Address /पत्र-व्यवहार पता
Permanent Address /स्थायी पता
Education Qualification
#
Subject
University/Board
Year
Total Marks
Marks obtained
Percentage
ROLL NO
10th(Secondary)
12th(Senior Secondary)
Graduation
Post Graduation
Transfer Certificate(TC)
10th Marksheet
12th Mark Sheet
Graduation Certificate(if any)
Post Graduation Certificate(if any)
Domicile Certificate (if any)
Aadhar (if any)
Income Certificate (if any)
Declartion
I hereby state that the facts mentioned above are true to the best of my knowledge and belief.
Submit