यह फॉर्म PRIVATE के छात्रों के लिए है. अतः इस फॉर्म से वो ही स्टूडेंट फॉर्म भरे. अन्यथा फॉर्म निरस्त कर दिया जायेगा .
Enrollment Form (Private) Jul-2019
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*
House No/ Village Colony/ Post
City/ Tehsil* State*
District Pincode
Copy to Permanent Address
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/Appeared:*
Passed/Appeared Year:* Percentage*  .  %
Eligibility/Migration/Transfer Certificate No.* Vikram Univ Previous Roll No(For Ex)
Bank A/C Detail
Bank A/C No

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*