Student Details *   All fields are Compulsory..
Important Information
* All Photographs and Documents should upload in '.jpg ' Format
 *Institute Name
*Batch Year
*Academic Session
 *UG / PG *Course *Stream
 *Sem / Year *Scholar No. Applicant Id *Admission Type *Admission Date
 *Fee Type
 Semester
Certificate Programme
 Diploma Certificate I Certificate II
 Photographs
 Signature
Basic Information
 *Name
[First/Middle/Last]
 /  /  * Date of Birth
 Enrollment No. *Gender
 *Permanent Address *State *District
 *City Tehsil Post
 Pincode
 
Same as
Local Address
State District
 City Pincode
 Gaurdian Address
 *Email Address *Student's Mobile No.
 Blood Group *Religion Caste Marital Status
 Mother Tongue  Disability  Nationality *Category Special Category
 *Country Name *Passport No. *Validity
 Curricular Activities  Aadhar Card No. Samagra Id N.C.C. N.S.S.
*Area
 Rural      Urban    
*BPL Card Holder
 Yes      No    
Last attended School / College Details
 Name Passing Year Result
Academic Details
Sno. Name of Exam Passed Name of School/College City Passing Year Uni. / Board Subjects Total Marks Obt Marks Per % Result Medium Paper
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Sibling Details
 Sibling 1 Scholar No.    
 Sibling 2 Scholar No.    
 Sibling 3 Scholar No.    
Health Details
 Vision L / R    /   Oral Hygiene
 Special Alignment    Disability Reason Teeth
Foreigner / NRI Details
 If foreigner , name your country    Passport No. If lives out of MP , name the state
 If your Parent is an NRI , state the country of their residence    
Parent's Information/Guardian's Information
 *Father's Name  Father's Education Father's Occupation
 Annual Income *Father's Mobile No.
 *Mother's Name  Mother's Education Mother's Occupation
 Annual Income  Mother's Mobile No.
 Guardian's Name  Guardian Mobile No.
 Father's Office Address Office Phone No.
 Mother's Office Address Office Phone No.
Preference To Join & Interest Area
 *
 NCC      NSS    
 Sports
Archery
Athletics
Badminton
Base ball
Basketball
Boxing
Cricket
Fencing
Football
Judo
Kabbadi
Karate
Kho-Kho
Lawn Tennis
Power lifting
Rope skipping
Shooting
Soft ball
Swimming
Table tennis
Taekwondo
Volleyball
Weightlifting
Cultural
Acting
Bharatnatyam
Classical
Clay Modeling
Contemporary
Drama
Kathak
Mime
Mimicry
Non-Percussion
Painting
Percussion
Rangoli
Sugam Sangeet
Western
Literary
Collage Making
Debate
Extempore
Quiz
Speech
Writing
Field Of Interest
 
 Competitive Exam        Placement        Enterpreneur        Higher Education        Research      
Other Information
 SSSM ID    Family ID Bank Name
 Bank Acc/No    IFSC Code
Bus Facility
 Length of Residance [K. M.]    Route Name Stop Name
Certificate Enclosed
Documents
Submit
Pending
10th Marksheet
12th Marksheet
Graduation Marksheet
Transfer Certificate
Character Certificate
Eligibility Certificate
Gap Certificate
Domicile Certificate
Caste Certificate
Income Certificate
Address Proof
Blood Group
Aadhar Card
Samagra Id
BPL Card
Fee Transaction Detail And Declaration
 
*
Fee Transaction Id
 
 
*
Fee Payment Receipt
 
 
I hereby declare that the information given in this Form is true and correct to the best of my knowledge and belief. In case any information given in this Form proves to be false or incorrect, my candidature may be rejected at any point of time
Remark
 Other Remark   
Rural area
Hostel/Rented Lodging
 Near Railway Station