Application for SOS
Admission
2024 - 25
Fields marked with * are mandatory
Select Courses on Priority Base
*
(Atleast one or more courses)
Course Preference 1.
*
Course Preference 2.
Course Preference 3.
Course Preference 4.
Course Preference 5.
Applicant's General Details
Full Name (English)
*
Full Name (Hindi)
*
Convert Hindi text Click here
Father's / Husband's Name (English)
*
Father's / Husband's Name (Hindi)
*
Mother's Name (English)
*
Mother's Name (Hindi)
*
Date of Birth
*
(dd/mm/yyyy)
Gender
*
Male
Female
Email Id
*
Driving Licence No./Voter ID No./Passport No./
Samagra Id No./Last Exam Pass Roll No.
(Anyone of the above)
*
Nationality
*
-Select-
INDIAN
Other
Whether domicile of Madhya Pradesh
*
Yes
No
Category
*
Hostel Accommodation required
*
Yes
No
Blood Group
*
-Select-
A+
O+
B+
AB+
A-
O-
B-
AB-
Do You Have any ATKT Pending 1st to 5th semester
*
Yes
No
Correspondence Address
Address. 1
*
Address. 2
*
District
*
Phone No.
(With STD Code)
-
Permanent Address
Address. 1
*
Address. 2
*
District
*
Phone No.
-
Mobile.No.
*
(Do not prefix 91 or 0 Zero )
Same as Correspondence Address
Other Details
240 hrs participation in NSS activities at University level or B/C Certificate
*
Yes
No
NCC "C" Certificate
*
Yes
No
Cultural activities at Inter-University level/National level
*
Yes
No
Sports activities at Inter-University level/National level
*
Yes
No
Sub-Category
*
Teachers/Officers staff ward class 3 or 4
PHY Handicapped
Freedom Fighter
Kashmiri Migrant
NRI
EWS
None
Have you passed Honours course?
*
Yes
No
Graduate From:
-Please Select-
JIWAJI University
Other University of M.P.
University outside M.P.
Whether Candidate is Employee or Not
*
Yes
No
Qualifying Exam Details
Passing Year
*
Previous Qualifying Exam
*
Marks Obtained
*
Marks Total
*
Percentage(%)
Roll No.
*
Name of University/Board
*
Result Awaited?
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
--Select--
-----Select-----
10+2 - Maths Group
10+2 - Agriculture Group
10+2 - Biology Group
10+2 - Commerce Group
10+2 - Arts Group
10+2 - Home Science Group
BA
BA(HN)
BSC
BSC(HN)
BHSC
BCOM
BCOM(HN)
LLB
BALLB
BALLB(HN)
BCOMLLB
BCOMLLB(HN)
MBBS
BDS
BE-BTech
BPharma
BBA
BLib
BJMC
BCA
BHMCT
LLM
BAMS
BHMS
BTM
BSc Nursing
Others UG-3 Years
Others UG-4 Years
Others UG-5 Years
Is your result awaited?
Result Awaited Note:- The candidates whose final result is awaited should add total marks and marks obtained of all the earlier Semester/Years and then mention it .
ऐसे अभ्यर्थी जिनका अन्तिम परीक्षा परिणाम घोषित नहीं हुआ है वे पूर्व के समस्त सेमेस्टर/वर्षो के पूर्णांक एवं प्राप्तांको का योग उल्लेखित करें।
Have you ever been expelled/rusticated from any educational institution or convicted by a court of law?.
Yes
No
Particulars of Guardian
(a) Full Name
*
(b) Occupation
*
-Please Select-
Service
Business
Private
Other
(c) Annual Income (per annum)
*
-Please Select-
Below Rs 5 Lac
Above Rs 5 Lac
Attachment (
Note : Attachment should be .jpg format and size<200 KB
)
12th class mark-sheet
*
Note
The preference and choice of course of admission given by candidate while filling the application form will be final .Admission will be given on merit cum choice basis.
Photo With Signature
*
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