M.A/MSW/M.F.A/M.PEd/M.Sc ENTRANCE EXAMINATION 2017 REGISTRATION FORM

USE MOZILLA FIREFOX FOR FILLING THE APPLICATION

* Indicate mandatory Fields

Stream*  
Name of Centre *  
Subject applied for *
Name of Student*  
Upload Photo*
(Max File Size:40Kb
File Type :JPG only)
Date Of Birth* Age
Gender* Male Female  
Nationality*  
Religion*  
Whether eligible for Reservation*
Yes No  
Community*  
Caste*  
Sub Caste  
Whether eligible for any Special Reservation *
(If Yes indicate category)
Yes No  
PH BLIND
NCC NSS
SPORTS ARTS
BPL in FC  
Name of Father  
Occupation  
Annual Income *  
Communication Address * (Special characters not allowed.)
Permanent Address * (Special characters not allowed.) Same as above  
Mobile Number *  
Email Id * A value is required.Invalid format.  
QUALIFICATION
Qualification possessed for admission to the course*
Main subject/Core subject studied for the Degree course*
College/Institution last attended for the Degree Course*
EXAMINATION DETAILS *
Name of Exam Subject University/
Board
Register Number Year Of passing Grade/
Class
% of Marks
SSLC
Plus two /PDC
Degree
Note 1. For final year students enter the percentage of marks of entire semesters so far.
2. Example of the field 'Grade/Class' :-First,second OR A plus,C plus etc.(not allowed A+,B+ etc).
APPLICATION FEE DETAILS
Amount*
Fee Payment Method * DD Challan
DD/Chalan Number*
Date*
Name of Bank*
Branch Name of Bank*
Additional Information if any (Special characters not allowed.)
List of Enclosures (Special characters not allowed.)
Enter the contents of Image*

   

-----------------------Declaration----------------------
I here by declare that all the statements made in this application are true ,complete and correct to best of my knowledge and belief.
I understand that in the event of any information being found false or incorrect ,my candidature for admission is liable to be cancelled.
NB:- Attested Copies Of Certificates to prove age/caste/community and qualification should be enclosed along with DD.
M.P.Ed applicants should submit medical certificate in the prescribed format available in the University website.