Private Enrollment/Registration Form : MAY-2024
Fields are mandatory(*)
College And Course Details
District*
College Name*
Program Name Branch Name*
Admission Type*
Personal Details
First Name* Last Name
DOB*(dd/mm/yyyy) Gender*   M.P. Domicile
Father's Name* Mother's Name*
Marital Status* Husband's Name
Category* Sub-Category Minority   Handicapped Majority NRI
Nationality* Religion*
Address
Correspondance
* *
* *
* *
Permanent
* *
* *
* *
Other Details
Phone Number(With STD Code) Mobile Number* Email Id*  
Previous Education Details
Exam Passed*
University/Board*
Passing Year* Percentage*  .  %
Eligibility/Migration/Transfer Certificate No.* Previous Roll No
Enclosures to be Tick:
 Proof for DOB.
 Marksheet.
 Migration certificate.
 Eligibility certificate.
 Gap Certificate.
 Transfer Certificate. (Counter Signature By D.E.O.)
Photo Signature
Upload Image
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.
Important Notice
नोट: जिन छात्रों की प्रवेश प्रक्रिया उच्च शिक्षा विभाग द्वारा किये गए हैं उनके नामांकन फॉर्म में दिखाए जा रहे डाटा विश्वविद्यालय से प्राप्त डाटा के आधार पर है। इसमें किसी भी प्रकार की त्रुटि अथवा सुधर हेतु सम्बंधित महाविद्यालय अथवा विश्वविद्यालय से संपर्क करें।