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On-Line Registration Form


Admission Application Form Session 2018-19


Education Detail

Courses * :



Session :



Centre code :




General Detail

Name *



Father's Name *



Mother’s Name *



Date of Birth *



Present
Address *



Phone No. *

Mobile No *



Email *



Correspondence
address *

Pin Code

Category

Qualifications:
Exam Year of Passing Board / University Percentage % Subjects
Secondary
Sr.Secondary
Graduation
P.G.
Others

Fee Details:

Course Fee : As per University rules (Please see Website.).

Course Fee :



Bank :

Date :



Cheque/DD/UTR No.



Declaration

I solemnly declare and confirm that I am duly qualified to take admission in the course for which I have applied and all the certificates and testimonials attached with my application are true and valid. I have fully satisfied myself about the legal status of the University i.e it is and autonomous statutory body with regulations making power for it’s functioning. University is duly authorized and competent to take my admission in the course for which I have applied. I also undertake not to ever raise any objection about Universities legal status to take my admission and award degrees on qualifying prescribed examinations. I also undertake not to demand refund of fee/charges paid by me. In case of any dispute/differences/claim of disciplinary action settlement by University arbitration clause shall be applicable.


I Agree: