Form Fillup For Major Course

Form submission is closed..  Tuesday, 20 Mar 2018
1. Name      
2. Date of Birth
Attach Your Passport Size Photo

Not more than 100kb
3. Nationality    
4. Religion    
5. Minority  
6. Gender  
7. Are You a First Generation Learner
8. Caste     Sub Caste  
9. Are You A Person with Disability
10. Contact No.    
11. Father's Name    
12. Father's Qualification
13. Father's Occupation  
14. Present Address with Pin Code  
15. Permanent Address with Pin Code
16. Police Station (P.S.)
17. Mother's Name  
18. Mother's Qualification
19. Mother's Occupation  
20. Guardian's Name  
21. Guardian's Contact No.  
22. Relationship with Guardian  
23. Marital Status
Spouse Name  
24. Hostel required (For Women's Only)
Distance From Permanent Address
25. Family Income per annum
26. Are You From Bidi Worker Family
27. Would you Like to Join N.S.S
28. Do You Belongs To Bpl Family     Card No
29. Are You Thalassemia
30. M.P/Equivalent Roll & No./Index No.    
31. Name of the Council/Board (M.P.)    
Marks Obtained in M.P./Equivalent Full Marks Percentage of Marks Obtained
32. HS Registration No    
33. H.S/Equivalent Roll & No./Index No.
34. Year of Passing  
35. Name of the Council/Board  
36. Name of the School  
37. H.S. Registration Year  
38. Previously Registered To V.U.   Registration No.     Registration Year
35. No. of 'Language Subjetc(s)' studied in H.S./Equivalent Course
 Statement of marks obtained in the H.S./Equivalent Examination * Do not enter the marks of Environmental Studies
Subject Full Marks (Theo) Full Marks (Prac/Oral/Project) Marks Obtained (Theo) Marks Obtained (Prac/Oral/Project) Total Marks Obtained
English  Compulsory           0 to 100
Compulsory           0 to 100
            0 to 100
            0 to 100
          0 to 100
            0 to 100
Total Marks Best Five    
Applicant may choose Elective Subject(s) as per his/her choice. But finally the said subject(s) will be offered to him/her on availability or eligibility at the time of admission.
Srl. No.StreamCourse TypeMajor Subject1Major Subject2Major Subject3Merit Marks
Please confirm Date of Birth then submit your Application Form.