APPLICATION FOR RE-ADMISSION SESSION - (2018 - 2019)

B.A / B. Sc. / B.Com. Part I      Gen./OBC/SC/ST/Christian

Please Fill All Steps. Note: Whichever option is not applicable Kindly mark "N.A."






  Date of Application :  
  Student's Name :
 
  University Roll No. :
Printed On Your University Marksheet.
 
  Religion :
 
  Caste :
 
  Date of Birth :
 
  Father's Name :
 
      Same As Above  
  Guardian's Name :
 
  Mother's Name :
 
  Monthly Income :
 
  Occupation :
 
  Phone/Mobile No. :
 
  Father's Address :
 
      Same As Above  
  Guardian's Address :
 
  Blood Group :
 
  Name of Last Exam Appeared :
 
  University Name :
 

  Place of Birth :
 
  City :
 
  District :
 
  State :
 
  Length of Residence in U.P. :
 
  Resident of Rural or Urban Area :
 
  Nearest Railway Station :
 
  Home Town / Village :
 
  Local Guardian's Name (if any) :
 
 
  Local Guardian's Phone / Mobile No. :
 
  Previous Fee - Consession (if any) :
 
  Marital Status :
 
  Were you ever Expelled :
 
  Son / Dependent of Political Sufferer for Independence :
 
  What are your Hobbies :
 
  Day Scholar / Hosteller :
 
  Upload Image :
You Can Upload Image Max 100 kb (jpg,jpeg,png,gif)
:
 
  Upload Signature Image :
You Can Upload Signature Max 100 kb (jpg,jpeg,png,gif)
:
 


I declare that the above statements are accurate and true . I pledge to be governed by all the rules and regulation of the college as given in the college hand book and prospectus and promise to do my work faithfully and to attend all the classes in which I am enrolled. I promise to maintain good conduct. I declare that my guardian will pay my college and hostel fees regularly and throughout the college session. I understand that falsification of above entries on my part will result in cancellation of my admission, at any time.