Online Application Form

Student Name* :
Mobile. * :

Father’s Name* :

Date Of Birth* :
Gender* :

Mother’s Name* :

Address* :

City* :

State* :

E-mail ID * :

Category * :

Hostel Req. * :

*Please select Course category option *

Diploma  Under Graduate  Post Graduate 
Qualifying Examination *:

Sl.No. Examination Board Percentage Year of Passing
1 Class X *
2 Class XII
3 Graduation
4 Masters
(10 char max) (upto 2 decimal)
Do you have any pending compartments (Y/N)
Yes No

I solemnly declare that the information provided by me in the admission form is correct and I have not concealed any relevant facts. I undertake to abide by all the rules and regulations of the University wherever prescribed. I here by undertake that I was not disqualified by any board or University. I am taking admission in the University provisionally on my own responsibility subject to confirmation of the eligibility by the University. If at any stage, I am declared ineligible then my admission may be cancelled by the University. I will not make any claim for such admission seat. Further, I undertake not to take part in political activity or any sort of agitation. I here by undertake that in case, I withdraw my admission, then my refund my fees will be as per the admission policy of the University. I further undertake that i will not indulge in any form of ragging in University Campus/Hostel/Transport. I further affirm that I was not involved in any form of ragging earlier also.

I Accept

Answer Simple Qusetion

3 + three =