• Personal Detail
  • Education Detail
  • Other Information

Personal Information

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 Willngly   After 



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 BA   Bcom   Bsc   MA   Mcom 

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 First Year   Second Year   Third Year 

 Unmarried   Married   Divorced   Widowed   Desserted
 Male   Female 

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 Rural   Urban   Tribal 

Address For Correspondence



Permanent Address[Write only if different than 'Address for correspondence']



Contact Details



 Open   SC   ST   DT   NT   OBC   SBC   Minority 


 Visually Impaired   Speech and/or Hearing Impaired   Orthopedic Disorder or Mentally Retarded   None 

Education Detail

Social Reservation Information Section[Check Whichever is Applicable]

Ex-Serviceman/Ward of Ex-Serviceman Member of Project Affected Family
Active-Serviceman/Ward of Active-Serviceman Member of Earthquake Affected Family
Freedom Fighter/Ward of Freedom Fighter Member of Flood/Famine Affected Family
Ward of Primary Teacher Resident of Tribal Area
Ward of Secondary Teacher Kashmir Migrate
Deserted/Divorced/Widowed Women    

Guardian Information Section

*Occupation of the Guardian
 Service   Business   Profession   Farmer   Laborer   Retired 

*Annual Income of the Guardian(Rs):
(Last Financial Year)

*Relation of guardian with applicant :
*Mobile No :

Education Detail Section

Class Faculty Name of Board/University Name of School/College Date of passing Examination Seat No.(last) Degree/Passing Certificate No. Grade/Total Marks Obtained Out of Qualifying Examination?(YES/NO)
11th
12th
FY SEM I
FY SEM II
SY SEM III
SY SEM IV
TY SEM V
TY SEM VI
MA SEM I
MA SEM II
MCom SEM I
MCom SEM II

Attached Document and Certificate Section

Sr No. Name of Document/Certificate Original/Attested True Copy Attached(YES/NO)
1 Passing Certificate of Std 10th *Attested True Copy(Mandatory)
2 Leaving Certificate Original
3 Certificate of Caste with Category Caste Verification Attested True Copy
4 Non Creamy Layer Certificate Attested True Copy
5 Affidavit for changed name/Marriage Certificate/Govt. Gazette Original
6 Domicile Certificate Attested True Copy
7 Certificate for Physically Challenge Attested True Copy
8 Adhar Card No.
9 If Registerd Your Name in Voter List

Other Information

 Employment   Unemployment 

Would you like to apply for Hostel :
 Yes   No 

Hobbies,Proficiency and Other Interests :

Games and Sports participation :

Level(e.g. college/state/national/international etc) :