Admission

Course*

Last Appeared Exam *

Rank / Marks(%)

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Personal Details

Enquiry Date *

Academic Session *

First Name *

Last Name *

Email *

Phone *

Date of Birth *

Blood Group *

Sex *

Marital Status *

Cast *

Religion *

Nationality *

Physically Challenged Person

Present Address

Present Address *

City *

PIN *

Country *

State *

Permanent Address ( Is Permanent & Present Residence same ? Yes No )

Permanent Address *

City *

PIN *

Country *

State *

Family Details

PARTICULAR	NAME	EDUCATION	OCCUPATION	PHONE	EMAIL
Father *
Mother
Brother / Sister

Family Income (Per Annum) *

Guardian Details

Local Guardian Name *

Relation *

Academic Details

	10th	12th	Diploma	Graduation	Post Graduation
Examination
Board/Council
Pass Year
Medium of Study
Marks %/ Division
Subject / Stream

Professional Degree/Diploma (if completed)

Do you want hostel facility ? Yes No

How do you come to know about University/College?

Documents

Class X Admit Card * Choose File

Class X Marksheet * Choose File

Class XII Admit Card* Choose File

Class XII Marksheet* Choose File

Valid ID Proof * Choose File
*Aadhar Card/ Voter’s card/ Driving License/ Passport/ Pan Card

Declaration

Original documents required during admission processs

X,XII Admit card , Results, Migration Certificates, 4 copy passport size photo and any ID prof-(Aadhar Card/ Voter’s card/ Driving License/ Passport/ Pan Card)

Declaration of Student

I hereby certify that the particulars furnished by me are correct and nothing has been withheld or wrongly stated
I undertake that I will not associate/ involve myself with any unlawful activity.
I undertake that I will neither smoke nor consume alcohol, drugs or any intoxicant, within University/Hostel premises.
I certify that I have never been debarred from appearing in any examination.
I also declare that no criminal offence/ inquiry are pending against me.
I fully understand and undertake that I will attend all classes as per University time table. I also understand that I will not be allowed to appear in exam, in case my attendance falls below 75% level.
I undertake that I will submit my final result before last date of admission, failing which I will have no claim whatsoever and the University may cancel my admission.
I also clearly understand that if I am found to be directly/ indirectly involved in any case of ragging at any stage of my stay in the University/Hostel, the University will have the right to expel me from the University/Hostel and also register a criminal case against me, as per the direction of Honourable Supreme Court.
In case of any dispute the decision of the Registrar, University/College shall be final and binding.

I have read and understood the rules of discipline of the University and shall abide by them. I also fully understand that in case of any violation, I can even be detained, rusticated or expelled from the University.