यह फॉर्म 3/5/7 Semester छात्रों के लिए है. अतः इस फॉर्म से वो ही स्टूडेंट फॉर्म भरे. अन्यथा फॉर्म निरस्त कर दिया जायेगा
Enrollment Form for 3/5/7 Sem (from Other University) and Offline to Online JUL-2018
Field's marked with * are mandatory

Reference Details

Reciept No.*    Reciept Date*

College And Course Details

Course Type* District*
College Name*
Program Name* Branch*
Admission Type* Medium*

Personal Details

First Name* Last Name*
Name in Hindi*
DOB* Gender*
Father's Name* Mother's Name*
Marital Status* Husband's Name
Category* Sub-Category Minority   Handicapped
Nationality* Religion*

Address

Correspondance

House No/ Village Colony/ Post
City/ Tehsil* State*
District Pincode
Copy to Permanent Address

Permanent

House No/ Village Colony/ Post
City/ Tehsil State
District Pincode

Other Details

Phone Number(With STD Code) Mobile Number* Email Id*  
Aadhar No.    

Previous Education Details

Exam Passed/Appeared:*
University/Board*     
Passed/Appeared Year:* Percentage*  .  %
Eligibility/Migration/Transfer Certificate No.* Vikram Univ Previous Roll No(For Ex)

Bank A/C Detail

Bank A/C No

Enclosures

Eligibility certificate? Migration certificate? Proof for DOB? Marksheet? Gap Certificate?

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.

Photo & Signature*