Fill Student Information
All fields * are mandatory
*Please fill carefully
Student Personal Information
*
Student Type:
-- Select --
University Student
ICAR
VCI
Technical
*
Degree:
--Select--
UG
PG
Ph.D
Diploma
P.D.F
*
Degree Programme:
*
Batch:
*
Student Name:
*
Student Id:
*
Date Of Birth:
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Gender:
-Select-
Male
Female
Other
*
Student WhatsApp/Mobile Number:
*
Adhaar No:
*
Main Email Id:
*
Alter Email Id:
*
Father's Name:
*
Father Mobile Number:
*
Mother's Name:
*
Mother Mobile Number:
*
Permanent Address:
*
Temporary Address:
*
Major/Branch:
*
Nominee Name For Medical Policy :
*
Relation With Nominee :
*
Name of Advisor:
*
Advisor Department:
*
Advisor Mobile No:
*
Local Guardian :
*
Local Guardian Address :
*
Local Guardian Mobile No :
*
Hostel Name:
--Select--
MANDAKINI BHAWAN PHASE-1
MANDAKINI BHAWAN PHASE-2
SAROJINI BHAWAN
CHITRANJAN BHAWAN - I
NEHRU BHAWAN
GANGOTRI BHAWAN
YAMUNOTRI BHAWAN
KASTURBA BHAWAN
SHASTRI BHAWAN
GOLDEN JUBLEE BHAWAN
SHIVALIK BHAWAN
SILVER JUBLEE BHAWAN
PATEL BHAWAN
MEENAKSHI BHAWAN
TAGORE BHAWAN
VISHVESHWARYA BHAWAN
VIVEKANAND BHAWAN
GANDHI BHAWAN
AMBEDKAR BHAWAN
SARASWATI BHAWAN
CHITTARANJAN BHAWAN -2
DAYS SCHOLAR
NEHRU BHAWAN
YAMUNOTRI BHAWAN
PANT BHAWAN
*
Blood Group :
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O-
O+
A-
A+
B-
B+
AB-
AB+
*
Category :
-Select-
General
OBC
SC/ST
Other
*
Health Problem,if any:
*
Semester
*
Hobbies:
*
Religion:
*
Identification Marks:
*
Nationality:
**If You don't Have Vehicle Then Fill NA
*
Vehicle Number:
*
Others:
Student Fee Information
*
Transection Id
(Draft/Cheque/Receipt No
)
*
Amount:
*
Date Of Transection:
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Bank Name:
Student Photo Upload
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*
Student Photo
: