Class :	--Select-- B.S.C. - I Year B.S.C. - II Year B.S.C. - III Year B.Com. - I Year B.Com. - II Year B.Com. - III Year B.A. - I Year B.A. - II Year B.A. - III Year		Name :
Photo :			Upload Signature :
Father's Name :			Mother's Name :
Course :	--Select-- BA - BACHELOR OF ARTSB.COM - BACHELOR OF COMMERCEBSC - BACHELOR OF SCIENCEMSc- Previous (Physics and Chemistry) -Proposed in session 2021-22		D.O.B. :
Sex :	--Select-- Male Female		Physically Challenged :	--Select-- Yes No
Religion :			Nationality :
Minority :	--Select-- Yes No		Medium :	--Select-- English Hindi
Category :	--Select-- General OBC SC ST		Domicile :
Enrolment No. :			IT Payee :	--Select-- Yes No
Address For Correspondence   Permanent Address Address :   Address : Same as Before District :   District : State :   State : Pincode :   Pincode : Mobile No. :   Alternate Mobile No. : E-Mail ID :
Academic Record Name of the Examination Board/University and Roll Number Year of Passing/Appearing Subjects Marks Obtd. Max Marks Marks %
Name of the Institution from where you have passed the qualifying examination :			Whether any disciplinary action has been taken against you? if so, state reasons, the punishment awarded and reference of authority awarding the punishment.
Subject Group :			Due Subject