Fields are mandatory(*)

Course Details
Have appeared for CUET examination*	Select YES No
Course Type*	Select UG PG
Course Name*	--Please Select--	Course Group/Branch Name*	--Please Select--
Admission Type*		Medium*	-Please Select- HINDI ENGLISH ? कृपया अपने अध्ययन के माध्यम का चयन करें!

First Name*		Last Name
Name in Hindi*	हिंदी में परिवर्तित करने के लिए यहाँ क्लिक करें
DOB*(dd/mm/yyyy)	(DD/MM/YYYY) [Age calculation date is 31 July 2026]	Gender*	-SELECT- Male Female
M.P. Domicile *	-SELECT- Yes No
Father's Name*		Mother's Name*
Marital Status*	MARRIED UNMARRIED WIDOW SELECT	Husband's Name
Category*	-SELECT- UR OBC(Creamy layer) OBC (Non-Creamy Layer) SC ST UR-EWS	Sub-Category	Minority   Handicapped Majority NRI
Nationality*	-SELECT- INDIAN OTHER	Religion*	-SELECT- HINDU MUSLIM SIKH CHRISTIAN JAIN BUDDHIST PARSI

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

Other Details
Phone Number(With STD Code)		Mobile Number* कृपया मोबाइल नंबर (Mobile No) Enter करे. कृपया मोबाइल नंबर (Mobile No) 9,8,7 से शुरू करते हुए केवल [0-9] का प्रयोग करे.		Email Id

Previous Education Details
Exam Passed	Exam Name	University/Board	University/Board(Other)	Year	Percentage(%)	Roll No.
10th *		---Select--- CBSE ICSE MP Board Other Board		1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Select	.  %
12th *		---Select--- CBSE ICSE MP Board Other Board		1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Select	.  %
Graduation		---Select--- Dr. HSG Univ, Sagar Dr. HSG UTD, Sagar Other Univ. from MP Other Univ. Out of MP		1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Select	.  %
Post Graduation		---Select--- Dr. HSG Univ, Sagar Dr. HSG UTD, Sagar Other Univ. from MP Other Univ. Out of MP		1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 Select	.  %

Enclosures(to be submitted at the time of counselling) to be Tick:*  Proof for DOB.  Marksheet.  Migration certificate.  Eligibility certificate.  Gap Certificate.  Caste Certificate.

Photo Signature* Upload Image

Declaration * 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.