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Apllicant's Personal Details
Name
*
Date of Birth
*
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
March
April
May
June
July
August
Sept
Octo
Nov
Dec
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Gender
*
Male
Female
Transgender
Blood Group
Undefined
A-
A+
B-
B+
0-
O+
AB-
AB+
Religion
*
Hinduism
Islam
Christianity
Sikhism
Buddhism
Jainism
Others
Nationality
Indian
NRI
Others
Marital Status
Married
Unmarried
Widow
Divorced
PH
No
Orthopaedically handicapped/Cerebral palsy
Speech and hearing disabled
Visual disabled
Caste
*
General
OBC-A
OBC-B
SC
ST
Sub-Caste
Father's Name
*
Mother's Name
*
Father's Ocupation
Not Employed
Govt. Service
Private Service
Businessman
Retired
Self Employed Professional
Mother's Ocupation
Not Employed
Govt. Service
Private Service
Businessman
Retired
House Wife
Guardian's Name
*
Relationship with the Guardian
Father
Mother
Sister
Brother
Uncle
Aunt
Grand Father
Grand Mother
Husband
Guardian's Mobile No
Annual Family Income
If,BPL (BPL Number)
Minority
Yes
No
Contact Details
Phone with STD
Mobile
*
Emergency Number
Email
Address1
Address2
State
Andaman
Andhra Pradsh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
NCR
Odisha
Punducherry
Panjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
PIN
Police Station
Last Examination Details
University Roll Number
*
University Registration Number
*
Session
*
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2019-2020
2018-2019
2017-2018
2016-2017
2015-2016
2014-2015
2013-2014
Subject(Compulsury : ENVS)
Admission Details
Admission in
*
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2nd Year
3rd Year
Student Type
*
--- Select ---
Regular
Back
Casual
Stream
*
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Honours
*
Select Hounours
Combination
*
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SUBMIT