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Private Enrollment/Registration Form
Student Type
*
New Student For MCBU University
Already Enrolled in MCBU University
Fields are mandatory(*)
College And Course Details
District
*
-SELECT-
College Name
*
Program Name
*
Course Group/Branch Name
*
NEP Details
Multi Disciplinary Course
Select
Select Open Elective Subject
Skill Enhancement Course
Select
Select Vocational Subject
Project/Internship
Select
Select Project/Internship
Admission Type
*
PRIVATE
Medium
*
-Please Select-
HINDI
ENGLISH
?
कृपया अपने अध्ययन के माध्यम का चयन करें!
Personal Details
First Name
*
Last Name
Name in Hindi
*
?
नाम हिंदी में टाइप करने हेतु अंगरेजी में शब्द टाइप करें!
DOB
*
(dd/mm/yyyy)
M.P. Domicile
*
-SELECT-
Yes
No
Gender
*
Father's Name
*
Mother's Name
*
Marital Status
*
MARRIED
UNMARRIED
WIDOW
DIVORCEE
SELECT
Husband's Name
Category
*
-SELECT-
UR
OBC
SC
ST
Sub-Category
Minority
Handicapped
NRI
Nationality
*
-SELECT-
INDIAN
OTHER
Religion
*
-SELECT-
HINDU
MUSLIM
SIKH
CHRISTIAN
JAIN
BUDDHIST
PARSI
Address
Correspondence
House No/Village
*
Colony/Post
*
City/Tehsil
*
State
*
District
*
Pincode
*
Copy to Permanent Address
Permanent
House No/Village
*
Colony/Post
*
City/Tehsil
*
State
*
District
*
Pincode
*
Other Details
Phone Number
(With STD Code)
Mobile Number
*
Email Id
*
Previous Education Details
Exam Passed
*
University/Board
*
Enter Board or Univ. Name
*
:
MCBU University Enroll. no.:
(Don't enter /,-, etc between enroll no.)
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 with 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.