First name* Last name* Father’s Name /Guardian’s Name / Husband’s Name* Sex* Male Female Other Date of Birth (dd/mm/yyyy)* Nationality* Address* Pin Code* Email address* Mobile No.* WhatsApp No. Whether a SC/ST/Physically Handicapped* No Yes Attached Attested Copies of Certificate (Maximum file size - 1 MB(1024 KB))* Statement of Marks obtained in Honours Graduation examination Stream* Year of Passing* Full Marks* Total Marks obtained* (If appeared type "not applicable") Percentage of Marks* (If appeared type "not applicable") Name of the University last attended* Registration No. * of Year* Upload Mark Sheet of Final Semester / Final Year of Honours Graduation (If Graduation 1 + 1 + 1) / (1 + 1 + 1 + 1 + 1 For Medical Science Students)* (Maximum file size - 1 MB(1024 KB))* Extra Qualification (Post Graduate) (if any) Stream Year of Passing Full Marks Total Marks obtained Percentage of Marks CGPA Upload Mark Sheet of Final Semester / Final Year of Post Graduation (If Post Graduation 1 + 1 ) (Maximum file size - 1 MB(1024 KB))* Any other Social/Cultural activities: ( Maximum 50 characters allowed) Upload Documents (Maximum file size - 1 MB (1024 KB))* Class 10th Admit Card /Birth Certificate* Class 10th Mark sheet* HS / +2 Mark sheet* Upload your photo* Upload your signature* Pay Application Fee of Rs. 300/- and Apply Now DECLARATION BY STUDENT: I do hereby declare that information provided in this form is true to the best of my knowledge and belief. If any of the above statements is incorrect or if it is found that, I have in any way contravened the provisions of the rules and regulation relating to eligibility for prosecuting studies at the under graduate class or relating to eligibility for taking the University Examination after such studies my admission will be liable to be cancelled and I shall not be entitled to refund of fees paid by me. Also bind myself to abide by the code of conduct and discipline as may be enforced by the authorities from time to time.