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2024 - 25
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Select Courses on Priority Base
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(Atleast one or more courses)
Course Preference 1..
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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 SUPPLY/ATKT Pending in Previous Exam
*
Yes
No
Religion
*
-Select-
HINDU
MUSLIM
SIKH
CHRISTIAN
JAIN
BUDDHIST
PARSI
OTHERS
Minority Status
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-Select-
Minority
Non-Minority
Correspondence Address
Address. 1
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Address. 2
*
District
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Phone No.
(With STD Code)
-
Same as Correspondence Address
Permanent Address
Address. 1
*
Address. 2
*
District
*
Phone No.
-
Mobile.No.
*
(Do not prefix 91 or 0 Zero )
Other Details
240 hours 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
Option for Admission on
*
-Select Admission Type-
Open Seat
Sub-Category
*
Teachers/Officers staff ward class 3 or 4
PHY Handicapped
Freedom Fighter
Kashmiri Migrant
NRI
None
Have you passed Hon's course?
*
Yes
No
Graduate/12th From:
-Please Select-
MCBU University
Other University of M.P./Board
University outside M.P./Board
CBSE
Whether Candidate is Employee or Not
*
Yes
No
Qualifying Exam Details
Passing Year
*
Latest Qualifying Exam
*
Obtained Marks
Total Marks
Percentage(99.99%)
Roll No.
*
Name of University/Board
*
Result Awaited?
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
-Please Select-
-----Select-----
10+2 - Maths Group
10+2 - Biology Group
10+2 - Commerce Group
10+2 - Agriculture Group
Is your result awaited?
Result Awaited Note:- Total Marks obtain percentage up to V / VII / IX Semester OR II Year.
आवेदक छात्र सेमेस्टर पद्वति के माध्यम से 6th सेमेस्टर की परीक्षा मे समिलित हो रहे है (Result Awaited) है वे छात्र अपने 5th सेमेस्टर तक के टोटल नंबर का प्रतिषत अंकित करे। एवं वार्षिक पद्धति के छात्र प्रथम दो वर्षो के प्रतिषत अंक अंकित करे।
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 1 lakh
1-5 lakh
Above 5 lakh
Attachment (
Note : Attachment should be .jpg format and size<200 KB
)
10th class mark-sheet/Dob certificate
*
12th class mark-sheet
*
Note
Your priority is final for choice of courses. Admission will be given on the basis of your choice.
Photo With Signature
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