Personal Information

Session
2021-2022
Faculty
Education
Course
BSc.B.Ed
Salutation
Name of Candidate
 
Father's/Husband's/Gaurdian's Name
 
Father's/Husband's/Gaurdian's Occupation
 
Mother's Name
 
Mother's Occupation
 
Date Of Birth
 
Marital Status

Handicapped(Tick if Yes)
Convience Desired(Tick if Yes)
Applying for Hostel(Tick if Yes)

Gender

Category
Region
Nationality
 
Aadhar Number
 

Contact Information

Address of Correspondance
Address Line 1
 
Address Line 2
 
City/Town/Village
 
District
 
Pin/Zip Code
 
State
Country
 
E-mail
   
Confirm E-mail
 
Mobile
   
Alternate Contact
   
Landline Number with STD Code
Permanent Address
Address Line 1
 
Address Line 2
 
City/Town/Village
 
District
 
Pin/Zip Code
 
State
Country
 
E-mail
 
Confirm E-mail
 
Mobile
   
Alternate Contact
   
Landline Number with STD Code

Academic Information

Exam Passed
School/College Name
University/Board
Subject
Year of Passing
Max. Marks
Obt. Marks
Division
Percent

X th
 
 
 
 
 
 
 
 
XII th
 
 
 
 
 
 
 
 




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Upload Signature (50KB)*
 
 
Upload 10th Marksheet (200KB)*
 
 
Upload 12th Marksheet (200KB)*
 
 
 

Payment Details & Declaration

Application Form Fees : INR 1500/-

I Declare that entries made by me in this Admission form and the document submitted by me with the admission form are true in all respected and in any case, any information is found to be false,this shall entail automatic cancellation of my admission beside rendering me lible to such action, as the University may deem proper.

I note that my admission to the University and my continuance on it rolls are subject to the provision/rules of the University, issued from time to time.I shall abide by the rules of discipline and proper conduct.I am fully aware of the law regarding as well as the punishment and that if found guilty on this account I am liable to be punished appropriately.

I Declare that I have read the prospectus carefully and understood that the dispute if any will be subject to jurisdiction, Udaipur, Rajasthan Only.

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