candi Admission Form(2017-18)

Admission Form 2017-18

 
   
  Course Type      Select Course Type (UG/PG)    
Course/ Class      
 
 
(1) Basic Information
  Name:*   Father's Name:*  
  Mother's Name:*   Gender:*
  Caste Category:* Sub Category:*




  Domicile :*   Mother Tongue
Religion:*   State from where Passed Qualifying Exam: *
Parent's Income : *   Nationality : *
 
Hostel Required : *   Examination Center: GORAKHPUR
(2) Contact Details
  Date of Birth:*     (DD/MM/YYYY) Mobile Number:*
 
  Email Address:*

 

 
State:*  
   Postal Address:*   District:*  
   
(3) Qualification Details
               
  Exam Name * Status* Board Name / University     *   Passing Year* Roll Number* Marks Obt* Total Marks* Percent %
                  
              
           
                 
    (4) Identity
   
अपनी नई, रंगीन और स्पष्ट पासपोर्ट साइज की फोटो
निर्दिष्ट सूचना के अनुसार अपलोड करें
Aadhar No. :  
Upload Photo (Image size 100 KB to 150 KB)*  
only (.jpg)  
Upload Signature (Sign. size 100 KB to 150 KB)*  
   
(5) Weightage Claimed
 
 
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