ADMISSION  FORM 2019-20
::Exam Information::
Select UTD where you want to get Admission :*
Select Course where you want to get Admission*
   
::General Information::
Candidate's First Name
(As per 10+2 Marksheet):*
Last Name/SurName:*
    [ Last Name/Surname नहीं होने पर Blank SPACE का प्रयोग करें ]
Gender* Date of Birth(DD/MM/YYYY):*
Category* Father's Name:*
Domicile of Madhya Pradesh*
Sub Category:* Students belongs to *
   
::Address::
House No/Village:* Colony/Post office:*  
City/Tehsil:* District:*  
State:* Pincode:*  
Other Details
Phone Number(Off./Resi.)(With STD Code) Mobile Number* **Do not use Prefix '0' or '+91' In mobile Number.  
Email Id  
Educational Qualifications Details*
Exam Passed University/Board Year of Passing Total Marks Marks Obtained Percentage Result Awaited
10+2 or Equivalent*
Graduation
PG/Other
UPLOAD PHOTO WITH SIGNATURE OF STUDENT
 
SAMPLE IMAGE
कृपया फोटो के साथ सिग्नेचर भी अटैच करें सिग्नेचर के आभाव मैं आपका फॉर्म निरस्त किया जा सकता है इसकी ज़िम्मेदारी स्वयं आपकी होगी
Checklist for Enclosures(To be produced at the time of Counseling)
(Please Tick the Box)
*
  
I hereby declare that the information given above is true to the best of my knowledge and belief