Form Fill up For BA/BSC -Multidisciplinary (MDC)

Morning Shift

Saturday, 10 May 2025

PERSONAL INFORMATION

1. Name

* Invalid Input

2. Date of Birth

Attach Your Passport Size Photo (Only JPG)

Size between 30KB to 50KB
image size exceeds maximum allowable size

Upload Student Signature (Only JPG)

Size between 10KB to 50KB
image size exceeds maximum allowable size

3. Nationality

4. Religion

5. Minority

6. Gender

* Kanyashree ID

7. Caste

* Sub Caste Invalid Input

8. Physically Handicapped

Invalid Input

9. Mobile No.

* Invalid Input

10. Aadhaar Card No.

* Invalid Input

11. Blood Group

12. Email id

* Invalid Mail

13. ADDRESS

Vill

P.O.

P.S.

PIN Code

* Invalid PIN

Dist.

State

14. Whether Working

15. Mother Tongue

16. Marital Status

17. Father's Name

* Invalid Input

18. Father's Qualification

19. Father's Occupation

Invalid Input

20. Father's Income(Yearly)

21. Father's/Guardian's Phone No.

* Invalid Input

22. Mother's Name

* Invalid Input

23. Mother's Qualification

24. Mother's Occupation

Invalid Input

25. Mother's Income(Yearly)

26. Local Guardian's Name

Invalid Input

27. Local Guardian's Occupation

Invalid Input

28. Relation with Local Guardian

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29. Legal Guardian

Invalid Input

30. Banglar Siksha ID

Marks In Math(M.P)

ACADEMIC RECORDS

H.S/Equivalent Roll & No./Index No.

* Please enter numbers only

H.S Registration No.

Division

Year of Passing

Name of the Council/Board

Name of the School last Attended

Whether applied to some other college

Name Of The College

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Name Of the Course

Invalid Input

Do you have CU Registration No?

* CU Reg. No

Statement of marks obtained in the H.S./Equivalent Examination
* Do not enter the marks of Environmental Studies Unless it is Elective Subject

Please Select Subject	Marks Obtained	Full Marks
Compulsory	* Invalid marks
EnglishCompulsory	* Invalid marks
	* Invalid marks
	* Invalid marks
	* Invalid marks
	* Invalid marks

Total Marks Obtained	Best Four Marks

APPLICATION PART

SHIFT *

The authority reserves the right to send student to the morning shift from day shift and vice-versa(merit wise) subject to availability of seats.
All admissions are provisional. If any information is found incorrect the application/admission will be summarily cancelled without showing any reason whatsoever, at any point of time.

Madhyamik Admit Card (Only JPG) (admit/Certificate of Madhyamik) Size between 100KB to 150KB	General(EWS) or Caste Certificate (Only JPG) [if select any caste/General(EWS)] Not more than 100kb	PWD Certificate (Only JPG) (if select yes in ph category) Not more than 100kb	H.S / Equivalent Marksheet. (Only JPG)Not more than 150kb
Registration Certificate. (Only JPG)Not more than 100kb

Please confirm Date of Birth then submit your Application Form.

Full Address with Pin Code