Enroll Year Term Not Found !
Admission Form
(Distance Education)
College And Course Details
District
*
-- Select --
1 - ASHOKNAGAR
2 - BHIND
3 - DATIA
4 - GUNA
5 - GWALIOR
6 - MORENA
7 - SHEOPUR
8 - SHIVPURI
College Name
*
Program Name
*
Select Branch
*
-Please Select-
Year
*
-Please Select-
1YEAR
Admission Type
*
DISTANCE
Medium
*
-Please Select-
ENGLISH
HINDI
Personal Details
First Name
Last Name
Name in Hindi
*
*
Convert Hindi text Click here
DOB
*
Gender
*
-SELECT-
Male
Female
Domicile
*
-SELECT-
YES
NO
Father's Name
*
Mother's Name
*
Marital Status
*
MARRIED
UNMARRIED
WIDOW
SELECT
Husband's Name
Category
*
-SELECT-
UR
OBC
SC
ST
Sub-Category
Minority
Handicapped
Freedom Fighter
Employee Ward (Only for Jiwaji University Employees)
Blind
Prisoners of Central Jail,Gwalior M.P.
Nationality
*
-SELECT-
INDIAN
OTHER
Religion
*
-SELECT-
HINDU
MUSLIM
SIKH
CHRISTIAN
JAIN
Address
Correspondance
*
*
*
*
*
*
Copy to Permanent Address
Permanent
*
*
*
*
*
*
Other Details
Phone Number
(With STD Code)
Mobile Number
*
Email Id
*
Previous Education Details
Exam Passed
*
University/Board
*
Enter Board or Univ. Name :
Jiwaji Enroll No :
(Don't enter /,-, etc between enroll no.)
Passing Year
*
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
-Please Select-
Percentage
*
.
%
Eligibility/Migration/Transfer Certificate No.
*
JIwaji Univ Previous Roll No(For Ex)
Enclosures
Eligibility certificate?
Migration certificate?
Proof for DOB?
Marksheet?
Gap Certificate?
Photo & Signature
Upload Image
Declaration
I hereby declare that the information filled by me is true and complete as per my knowledge. If any information provided by me is found false or incorrect then i shall be disqualified by the university.