Registration Form

College Reg. No.
Registration Date
Proposed Class for Admission
Session
Name
Father's Name
Mother's Name
Aadhar No
Gender Male   Female
Religion
Category
Sub Category
Domicile In Up Yes   No
Is Handicapped Yes   No
Date Of Birth Enter Date In dd/mm/YYYY format
Mobile
E-Mail Id
Address (With Pincode)
Educational Qualification
Examination Passed Board/University Subject/Stream Year Of Completion Roll No. Enroll No. Max Marks Obt. Marks Marks %
10th
+2/Pre University
UG
PG
Other
Photo
Signature