Form Fillup For 3-Year Multidisciplinary Undergraduate Programme

Form submission is closed.. Thursday, 26 Dec 2024

PERSONAL PART

Name

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Date of Birth

Attach Your Passport Size Photo

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image size exceeds maximum allowable size

Nationality

Religion

Minority

Gender

Caste

* Sub Caste

Physically Challenged

Blood Group

Contact No.

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Father's Name

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Father's Qualification

Full Address with Pin Code

Police Station (P.S.)

Local Address with Pin Code

Local Phone No

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Mother's Name

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Mother's Qualification

Guardian's Name

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Guardian's Occupation

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Relation with Guardian

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Annual Income

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Family Income Category

Marital Status

Spouse Name

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Co-Curricular programme intended to be taken up

Activity/ Event

Whether you are first generation learner

Aadhaar Card No

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Father's Aadhaar Card No

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Mother's Aadhaar Card No

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Email ID

ACADEMIC PART

H.S/Equivalent Roll & No./Index No.

H.S/Equivalent Registration No

Year of Passing

Name of the Council/Board

Name of the School

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Statement of marks obtained in the H.S./Equivalent Examination * Do not enter the marks of Environmental Studies
* Candidates who did not have second language in their H.S./equivalent level should choose 'Others' and fill in the marks field with the lowest marks obtained in any subject at the Higher Secondary/ equivalent level

Please Select Subject	Marks Obtained		Full Marks
EnglishCompulsory	* Invalid marks
	* Invalid marks
	* Invalid marks
	* Invalid marks
	* Invalid marks
	*
Full Marks		Best Four

APPLICATION PART

Applicant may choose Elective Subject(s) as per his/her choice. But finally the said subject(s) will be offered to him/her on availability or eligibility at the time of admission.

Please confirm Date of Birth then submit your Application Form.