nitin_pitm@yahoo.com
9414293370
ChancellorShri Kalraj Mishra
Vice-ChancellorProf. R. K S. Dhakarey
Student Name*
Student Mobile No*
Student Email*
Admission Category
Date of Birth
Gender
Caste
Nationality
Pincode
Adhar Card No*
Profile Picture*
Full Address*
Religion*
Medium*
State*
City*
Course Name*
Stream
12th TC Year*
Previous School Name*
Father's Name*
Father's Mobile No*
Father's Occupation*
Father's Annual Income*
Mother's Name*
Student's What's App No*
Standard*
School Name*
Year*
Percentage of Marks*
10th Marksheet*
12th Marksheet*
Transfer Certificate*
Adhar Card*
Migration Certificate (if applicable)
Gap Certificate (if applicable)
Domicile Certificate ( Mool Nivas)
Charatcter Certificate*
Student's Signature*
1. I am seeking admission on my own accord. 2. All information furnished in the application from is correct to the best of my knowledge. I understand, that in the event of any information is found incorrect or False, or if, I discontinue my study (Course) during session in any way my admission may be cancelled without any refund of fee and I will not claim it through any competent court of law. 3. I agree to abide by the fee Refund Rules & Regulations as mentioned and amended time to time. 4. I undertake to remain in the Collage/University as a disciplined student and abide by the orders issued time to time by the authorities of the Collage/Department. 5. If I do not complete the attendance as per the requirement of the University, I shall not be allowed to appear in the University Examination. 6. I understand that FEES once paid will not be refunded or adjusted. 7. Scholarship & Reservation will be as per the norms of UGC/University /Govt only.
