Enrollment/Registration Form for PRIVATE 2021-22

College And Course Details

District*  
Course Type*  
College Name*  
Program Name*  

जिन छात्रों ने BBA/BCA की परीक्षा उत्तीर्ण की है, ऐसे छात्रों को MCOM की परीक्षा में पात्रता नहीं है |

Course Group/Branch Name*  
Exam Type* Medium*   ? कृपया अपने अध्ययन के माध्यम का चयन करें!

Personal Details

First Name*   Last Name *  
Name in Hindi* ?नाम हिंदी में टाइप करने हेतु अंग्रेज़ी में शब्द टाइप करें!  
DOB*(DD/MM/YYYY)   Gender*  
M.P. Domicile*      
Father's Name*   Mother's Name*  
Marital Status*   Husband's Name
Category*   Sub-Category Minority   Handicapped NRI
Nationality*   Religion*  

Address

Correspondence
House No/Village*   Colony/Post*  
City/Tehsil*   State*  
District*   Pincode*  
Permanent
House No/Village*   Colony/Post*  
City/Tehsil*   State*  
District*   Pincode*  

Other Details

Phone Number(With STD Code) Mobile Number*   Email Id  

Previous Education Details

Exam Passed*  
University/Board*  
Passing Year*   Only Upto 2020 Passout Percentage*  .  %  
Eligibility/Migration/Transfer Certificate No.   Previous Roll No NA
Enclosures to be Tick:
 Proof for DOB.
 Marksheet.
 Migration certificate.
 Eligibility certificate.
 Gap Certificate.
 Transfer Certificate. (Counter Signature By D.E.O.)
Photo Signature*

*

I,hereby declare that the information filled by me is true and complete as per my knowledge. If any information provided by me is found false or incorrect then I shall be disqualified by the University.