Admission Form-(प्रवेश फॉर्म)
UG
-
JUL-2024
College & Course Details - कॉलेज और पाठ्यक्रम विवरण
Program
*
-- Select --
Bachelor Of Arts
Bachelor Of Commerce
Bachelor Of Science
Branch Name
*
----Please Select----
Program Eligibility
*
Regional Center Name
*
-----Select----
Study Center Name
*
----Please Select----
Is Student belongs to Bhoj University
*
--Select--
Yes
No
Select Subject 1
Select
Select Subject 2
Select
Select Subject 3
Previous Qualification Details -योग्यता विवरण
Exam Passed
*
--Select--
12 th Class
Under Graduate
Post Graduate
Select University or Board
*
-----select-----
CBSE BOARD
Madhya Pradesh Bhoj (Open) University
MP BOARD
OTHER
*
Passing Year
*
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 Year--
12th Stream
*
Max Marks
*
Obtained Marks
*
Student Type
:
New Enrollment
Course Type:
UG
Do you want
SLM (Self Learning Material)
*
--Select--
Yes
No
Admission Type
*
-----select-----
Distance Mode Regular
Supplimentary
Academic Bank of Credit Id (ABC Id)
*
Create ABC Id
Medium
*
----Please Select----
ENGLISH
HINDI
Distance Education Board Unique Id
*
for your ref.
ODL-0000-00-000000
Create DEB Unique Id
Personal Details - व्यक्तिगत विवरण
First Name + Middle Name
*
Last Name
Name in Hindi
*
DOB
(DD/MM/YYYY)
*
Gender
*
-----Select-----
Male
Female
Transgender
Marital Status
*
----Select----
MARRIED
UNMARRIED
Father's Name
*
Husband's Name
Mother's Name
Category
*
-----select-----
OBC
SC
ST
UR
Nationality
*
-----select-----
INDIAN
OTHER
Specify Nationality
Person with Disability (PwD)
*
-----select-----
NO
YES
Religion
*
-----Select-----
HINDU
MUSLIM
SIKH
CHRISTIAN
BUDDHISM
PARSI
JAIN
Area
*
-----select-----
Rural
Urban
Employed/Unemployed
*
-----select-----
Employed
UN Employed
Employment Type
*
--Select--
Private
Government
Other
Address - पते का विवरण
Correspondence
House No/Village
*
Colony/Post Office
*
City/Tehsil
*
State
*
-----select-----
Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
PinCode
*
Permanent
House No/Village
*
Colony/Post Office
*
City/Tehsil
*
State
*
-----select-----
Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
PinCode
*
Copy to Permanent Address
Other Details - संपर्क विवरण
Mobile Number
*
WhatsApp No.
(
Is this is the what’s app no
.)
*
Alternate Mobile No.
*
Email Id
Do you want to be alumni of the Bhoj University
*
--Select--
Yes
No
Identity Proof Id
*
----Select----
Voter ID
Pan Card
Govt. approved ID card
Photo ID No.
*
Is your Voter id is registered/prepared
*
--Select--
Yes
No
Bank Details - बैंक विवरण
Note: Please Enter Bank details as mentioned in Passbook/Cheque book.
Bank Name
*
Account Holder Name
*
Account No
*
IFSC Code
*
Fee Details - शुल्क विवरण
Course Fee
Registration Fee
Portal Fee
Late Fee
Total Fee
Enclosures - संलग्न
Proof for DOB
Upload Image
Marksheet[10+2]/UG Course
Domicile Certificate
Caste Certificate
MarkSheet Attachment - मार्कशीट अटैचमेंट MarkSheet Attachment - मार्कशीट अटैचमेंट
छात्र अपनी अंतिम अंकसूची को scan कर उसे .jpg format मे अटॅच करे | Please Attach your Document
*
अधिकतम 200 KB तक की अपलोड कर सकते है
Declaration - घोषणा
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.
नोट-ऑनलाइन फीस जमा दिनाँक से 3 माह तक ही फीस वापसी के लिए आवेदन मान्य होंगे ।
नोट-इस ऑनलाइन प्रवेश आवेदन पत्र के साथ अर्हता दायक अंकसूचियां एवं अन्य अभिलेख (जो भी आवश्यक हों) अध्ययन केंद्र पर तीनो प्रतियों में जमा करने पर ही प्रवेश हेतु मान्य होगा अन्यथा आपका प्रवेश एवं पंजीयन स्वतः निरस्त हो जावेगा।>
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