Basic Details
Name of Student * :
Aadhaar No. *:
Email id* :
Confirm Email id* :
Mobile No. * :
Gender* : Male Female Transgender Others Declined to state
Religion* :
Caste :
Date of birth* :
Blood Group* :
Whether Physically Handicapped ? * : Yes No
Whether Eligibile for E-grand ? * : Yes No
Whether Eligibile for SEBC Reservation ? * : Yes No
Name Address Contact No.
Local guardian*
Father
Mother


Academic Details
Admission year* :
School/Centers* :
Programme Type* :
Programme* :
Current Semester* :
Address for Communication*
Address Line 1 :
Address Line 2 :
Post office :
State :
District :
Pin code :
Distance to residence from university :
Documents to be uploaded*

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Aadhaar :
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