Form Fillup For 3-Year Multidisciplinary Undergraduate Programme

Form submission is closed.. Wednesday, 4 Dec 2024

PERSONAL PART

Name

Date of Birth

Attach Your Passport Size Photo

Not more than 100kb

Nationality

Religion

Minority

Gender

Caste

Sub Caste

Physically Challenged

Blood Group

Contact No.

Father's Name

Father's Qualification

Full Address with Pin Code

Police Station (P.S.)

Local Address with Pin Code

Local Phone No

Mother's Name

Mother's Qualification

Guardian's Name

Guardian's Occupation

Relation with Guardian

Annual Income

Family Income Category

Marital Status

Spouse Name

Co-Curricular programme intended to be taken up

Activity/ Event

Whether you are first generation learner

Aadhaar Card No

Father's Aadhaar Card No

Mother's Aadhaar Card No

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

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





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.