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Supplementary Form
College & Course Details
Enroll No :
Applied For :
Year
Session :
Regional Center Name :
Study Center Name :
----Please Select----
Course Name :
----Please Select----
Branch Name :
-Please Select-
Admission Type :
Medium :
----Please Select----
ENGLISH
HINDI
Personal Details
First Name
Last Name
Name in Hindi
DOB
Gender
-----Select-----
Male
Female
Marrital Status
----Select----
MARRIED
UNMARRIED
Father's Name
Husband's Name
Mothers's Name
Category
----Select----
UR
OBC
SC
ST
Nationality
Specify Nationality
Handicapted
(If Yes, then submit certificate)
Religion
-----Select-----
HINDU
MUSLIM
SIKH
CHRISTIAN
OTHER
Area
Employed/Unemployed
Address
Correspondance
House No/Village:
Colony/Post office:
City/Tehsil:
*
State:
*
District:
*
Pincode:
*
Permanent
House No/Village:
Colony/Post office:
City/Tehsil:
*
State:
*
District:
*
Pincode:
*
Copy to Permanent Address
Other Details
Phone Number
(With STD Code)
Mobile Number
*
Email Id
Previous Education Details
University/Board
*
---Select----
MP BOARD
OTHER
Exam Passed
*
Passing Year
*
Max Marks
*
Obt marks
*
Paper Detail
छात्र कृपया ध्यान दें : ATKT/SUPPLEMENTARY के जो भी पेपर आपको परीक्षा फॉर्म मैं दिखाई दे रहे हैं वो विश्व्विद्यालय के द्वारा दिए गए रिजल्ट के अनुसार हैं किसी भी प्रकार के समस्या के लिए कृपया विश्व्विद्यालय से संपर्क करें.
1) Compulsory Subject
2) Optional Subject
Note : Please Select Option in which you have Supp.i.e Theory/Practical/Sessional
Fee Detail
Admission Fee+ 150 Registration Fee
Degree fee
Portal Fee
Late Fee
Total Fee
0
Enclosures
Proof for DOB
Marksheet[10+2]
Domicile Certificate
Cast Certificate
Handicapted certificate
अंकसूची अटैचमेंट :
छात्र अपनी अंतिम अंकसूची को scan कर उसे .jpg format मे अटॅच करे | Please Attach your Document
*
Declaration
I
hereby declare that the information filled by us, is true and complete as per my knowledge. If any information provided by us, is found false or incorrect then Student will be disqualified by the University.