* Mandatory Fields (अनिवार्य फ़ील्ड्स )
छात्रा का नाम (अंग्रेजी में) (बड़े अक्षरों में) *
Miss
Mrs
छात्रा का नाम (हिन्दी में) *
सुश्री
श्रीमती
लिंग (Gender)
महिला (Female)
तीसरा लिंग (Third Gender)
पिता/पति का नाम श्री *
माता का नाम श्रीमती *
छात्रा की जन्मतिथि *
राष्ट्रीयता*
-----राष्ट्रीयता का चयन करे -----
Indian
American
Argentinian
Austrian
Australian
Bangladesh(i)
Belgian
Brazilian
British
Cambodian
Chilean
Chinese
Colombian
Croatian
Czech
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Slovak
Swedish
Swiss
Thai
American
Tunisian
Turkish
Vietnamese
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Yugoslav
African
मातृ भाषा*
-----मातृ भाषा का चयन करे-----
Hindi
Bengali
Telugu
Marathi
Tamil
Urdu
Gujarati
Kannada
Malayalam
Oriya
Punjabi
Assamese
Maithili
Bhili/Bhilodi
Santali
Kashmiri
Nepali
Gondi
Sindhi
Konkani
Dogri
Khandeshi
Kurukh
Tulu
Meitei/Manipuri
Bodo
Khasi
Mundari
Ho
Other
धर्म *
----- धर्म का चयन करे -----
Hindu
MUSLIM
CHRISTHAN
OSWAL/JAIN
JAIN
MATHUR
Christian
Shikh
जाति *
संवर्ग जाति प्रमाण पत्र सलंग्न करें *
--------------चयन करे--------------
GEN
OBC
SC
ST
अल्पसंखयक
Yes
No
छात्रा का वर्तमान पता *
देश*
--------------चयन करे--------------
Afghanistan
Albania
ALGERIA
America
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
COTE D IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKSTAN
KENYA
KIRIBATI
KOREA DEMOCRATIC PEOPLES REPUBLIC OF
KOREA REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLES DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAINTKITTS AND NEVIS
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
राज्य *
--------------चयन करे--------------
Andaman & Nicobar Islands
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
शहर *
--------------चयन करे--------------
Ajmer
Alwar
Banswara
Baran
Barmer
Bharatpur
Bhilwara
Bikaner
Bundi
Chittorgarh
Churu
Dausa
Dholpur
Dungarpur
Hanumangarh
Jaipur
Jaisalmer
Jalore
Jhalawar
Jhunjhunu
Jodhpur
Karauli
Kota
Nagaur
Pali
Pratapgarh
Rajsamand
Sawai Madhopur
Sikar
Sirohi
Sri Ganganagar
Tonk
Udaipur
पिन कोड
टेलिफोन नं.
मोबाईल *
ईमैल आइडी *
ब्लड् ग्रुप
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स्थायी पता (कन्सेशन के लिये यही पता मान्य होगा) *
देश *
--------------चयन करे--------------
Afghanistan
Albania
ALGERIA
America
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
COTE D IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKSTAN
KENYA
KIRIBATI
KOREA DEMOCRATIC PEOPLES REPUBLIC OF
KOREA REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLES DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAINTKITTS AND NEVIS
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
राज्य *
--------------चयन करे--------------
Andaman & Nicobar Islands
Andra Pradesh
Arunachal Pradesh
Assam
Bangladesh
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
GUJRAT
Haryana
Himachal Pradesh
Iran
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
M.P.
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Nepal
Orissa
Pondicherry
Punjab
Rajasthan
RAJATHAN
Sikkim
SRI LANKA
Tamil Nadu
Telangana
Tripura
U.P.
Uttar Pradesh
Uttarakhand
West Bengal
शहर *
--------------चयन करे--------------
Adilabad
Agra
Ahmedabad
Ahmednagar
Aizawl
Ajmer
Akola
Alappuzha
Aligarh
Alirajpur
Allahabad
Almora
Alwar
Ambala
Ambedkar Nagar
Amravati
Amreli
Amritsar
Amroha
Anand
Anantapur
Anantnag
Angul
Anjaw
Anuppur
Araria
Ariyalur
Arwal
Ashoknagar
Auraiya
Aurangabad
Aurangabad
Azamgarh
Badgam
Bagalkot
Bageshwar
Baghpat
Bahraich
Baksa
Balaghat
Balangir
Balasore
Ballia
Balrampur
Banas Kantha
Banda
Bandipora
Bangalore
Bangalore Rural
Banka
Bankura
Banswara
Bara Banki
Baramulla
Baran
Barddhaman
Bareilly
Bargarh
Barmer
Barnala
Barpeta
Barwani
Bastar
Basti
Bathinda
Beed
Begusarai
Belgaum
Bellary
Betul
Bhabua
Bhadrak
Bhagalpur
Bhandara
Bharatpur
Bharuch
Bhavnagar
Bhilwara
Bhind
Bhiwani
Bhojpur
Bhopal
Bidar
Bijapur
Bijapur
Bijnor
Bikaner
Bilaspur
Bilaspur
Birbhum
Bishnupur
Bokaro
Bongaigaon
Boudh
Budaun
Bulandshahr
Buldhana
Bundi
Burhanpur
Buxar
Cachar
Central
Chamarajanagar
Chamba
Chamoli
Champawat
Champhai
Chandauli
Chandel
Chandigarh
Chandrapur
Changlang
Chatra
Chennai
Chhatarpur
Chhindwara
Chikballapur
Chikkamagaluru
Chirang
Chitradurga
Chitrakoot
Chittoor
Chittorgarh
Churachandpur
Churu
Coimbatore
Cuddalore
Cuttack
Dadra & Nagar Haveli
Dahod
Dakshin Bastar Dantewada
Dakshin Dinajpur
Dakshina Kannada
Daman
Damoh
Darbhanga
Darjiling
Darrang
Datia
Dausa
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Deoria
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Dholpur
Dhubri
Dhule
Dibang Valley
Dibrugarh
Dima Hasao
Dimapur
Dindigul
Dindori
Diu
Doda
Dumka
Dungarpur
Durg
East
East Champaran
East District
East Garo Hills
East Godavari
East Kameng
East Khasi Hills
East Nimar
East Siang
East Singhbhum
Ernakulam
Erode
Etah
Etawah
Faizabad
Faridabad
Faridkot
Farrukhabad
Fatehabad
Fatehgarh Sahib
Fatehpur
Firozabad
Firozpur
Gadag
Gadchiroli
Gajapati
Ganderbal
Gandhinagar
Ganjam
Garhwa
Garhwal
Gautam Buddha Nagar
Gaya
Ghaziabad
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Giridih
Goalpara
Godda
Golaghat
Gonda
Gondia
Gopalganj
Gorakhpur
Gulbarga
Gumla
Guna
Guntur
Gurdaspur
Gurgaon
Gwalior
Hailakandi
Hamirpur
Hamirpur
Hanumangarh
Harda
Hardoi
Hardwar
Hassan
Haveri
Hazaribagh
Hingoli
Hisar
Hoshangabad
Hoshiarpur
Howrah
Hugli
Hyderabad
Idukki
Imphal East
Imphal West
Indore
Jabalpur
Jagatsinghapur
Jaintia Hills
Jaipur
Jaisalmer
Jajapur
Jalandhar
Jalaun
Jalgaon
Jalna
Jalore
Jalpaiguri
Jammu
Jamnagar
Jamtara
Jamui
Janjgir-Champa
Jashpur
Jaunpur
Jehanabad
Jhabua
Jhajjar
Jhalawar
Jhansi
Jharsuguda
Jhunjhunu
Jind
Jodhpur
Jorhat
Junagadh
Kabeerdham
Kachchh
Kaithal
Kalahandi
Kamrup
Kamrup Metropolitan
Kancheepuram
Kandhamal
Kangra
Kannauj
Kannur
Kanpur Dehat
Kanpur Nagar
Kanyakumari
Kapurthala
Karaikal
Karauli
Karbi Anglong
Kargil
Karimganj
Karimnagar
Karnal
Karur
Kasaragod
Kasganj
Kathua
Katihar
Katni
Kaushambi
Kendrapara
Kendujhar
Khagaria
Khammam
Kheda
Khordha
Khunti
Kinnaur
Kiphire
Kishanganj
Kishtwar
Koch Bihar
Kodagu
Koderma
Kohima
Kokrajhar
Kolar
Kolasib
Kolhapur
Kolkata
Kollam
Koppal
Koraput
Korba
Koriya
Kota
Kottayam
Kozhikode
Krishna
Krishnagiri
Kulgam
Kullu
Kupwara
Kurnool
Kurukshetra
Kurung Kumey
Kushinagar
Ladakh
Lahul & Spiti
Lakhimpur
Lakhimpur Kheri
Lakhisarai
Lakshadweep
Lalitpur
Latehar
Latur
Lawngtlai
Lohardaga
Lohit
Longleng
Lower Dibang Valley
Lower Subansiri
Lucknow
Ludhiana
Lunglei
Madhepura
Madhubani
Madurai
Mahamaya Nagar
Mahasamund
Mahbubnagar
Mahe
Mahendragarh
Mahoba
Mahrajganj
Mainpuri
Malappuram
Maldah
Malkangiri
Mamit
Mandi
Mandla
Mandsaur
Mandya
Mansa
Marigaon
Mathura
Mau
Mayurbhanj
Medak
Meerut
Mehsana
Mewat
Mirzapur
Moga
Mokokchung
Mon
Moradabad
Morena
Mumbai
Mumbai Suburban
Munger
Murshidabad
Muzaffarnagar
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Mysore
Nabarangpur
Nadia
Nagaon
Nagapattinam
Nagaur
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Nalgonda
Namakkal
Nanded
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Narayanpur
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Narsinghpur
Nashik
Navsari
Nawada
Nayagarh
Neemuch
New Delhi
Nicobar
Nizamabad
North
North & Middle Andaman
North District
North East
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North Twenty Four Parganas
North West
Nuapada
Osmanabad
Pakur
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Palamu
Pali
Palwal
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Panipat
Panna
Papum Pare
Parbhani
Paschim Medinipur
Patan
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Patiala
Patna
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Peren
Phek
Pilibhit
Pithoragarh
Pondicherry
Poonch
Porbandar
Prakasam
Pratapgarh
Pratapgarh
Pudukkottai
Pulwama
Pune
Purba Medinipur
Puri
Purnia
Puruliya
Rae Bareli
Raichur
Raigad
Raigarh
Raipur
Raisen
Rajgarh
Rajkot
Rajnandgaon
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Rajsamand
Ramanagara
Ramanathapuram
Ramban
Ramgarh
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Ratlam
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Reasi
Rewa
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Sabar Kantha
Sagar
Saharanpur
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Sahibganj
Sahibzada Ajit Singh Nagar
Saiha
Salem
Samastipur
Samba
Sambalpur
Sangli
Sangrur
Sant Kabir Nagar
Sant Ravidas Nagar
Saraikela-Kharsawan
Saran
Satara
Satna
Sawai Madhopur
Sehore
Senapati
Seoni
Serchhip
Shahdol
Shahid Bhagat Singh Nagar
Shahjahanpur
Shajapur
Sheikhpura
Sheohar
Sheopur
Shimla
Shimoga
Shivpuri
Shopian
Shrawasti
Siddharthnagar
Sidhi
Sikar
Simdega
Sindhudurg
Singrauli
Sirmaur
Sirohi
Sirsa
Sitamarhi
Sitapur
Sivaganga
Sivasagar
Siwan
Solan
Solapur
Sonbhadra
Sonipat
Sonitpur
South
South Andaman
South District
South Garo Hills
South Goa
South Tripura
South Twenty Four Parganas
South West
Sri Ganganagar
Sri Muktsar Sahib
Sri Potti Sriramulu Nellore
Srikakulam
Srinagar
Subarnapur
Sultanpur
Sundergarh
Supaul
Surat
Surendranagar
Surguja
Tamenglong
Tapi
Tarn Taran
Tawang
Tehri Garhwal
Thane
Thanjavur
The Dangs
The Nilgiris
Theni
Thiruvananthapuram
Thoothukkudi
Thoubal
Thrissur
Tikamgarh
Tinsukia
Tirap
Tiruchirappalli
Tirunelveli
Tiruppur
Tiruvallur
Tiruvannamalai
Tiruvarur
Tonk
Tuensang
Tumkur
Udaipur
Udalguri
Udham Singh Nagar
Udhampur
Udupi
Ujjain
Ukhrul
Umaria
Una
Unnao
Upper Siang
Upper Subansiri
Uttar Bastar Kanker
Uttar Dinajpur
Uttara Kannada
Uttarkashi
Vadodara
Vaishali
Valsad
Varanasi
Vellore
Vidisha
Viluppuram
Virudhunagar
Visakhapatnam
Vizianagaram
Warangal
Wardha
Washim
Wayanad
West
West Champaran
West District
West Garo Hills
West Godavari
West Kameng
West Khasi Hills
West Nimar
West Siang
West Singhbhum
West Tripura
Wokha
Y.S.R. (Cuddapah)
Yadgir
Yamunanagar
Yanam
Yavatmal
Zunheboto
पिन कोड
आपकी महत्वाकांक्षा
माध्यम *
------ माध्यम का चयन करे -------
Hindi
English
अनिवार्य विषय *
( इनमें से किसी एक का चयन करे )
ऐच्छिक विषय *
1. प्रत्येक समूह से केवल एक विषय चयन करते हुए तीन विषयों का चयन करें |
2. जय नारायण व्यास विश्वविद्यालय के निर्देशानुसार इस वर्ष छात्रा दो प्रैक्टिकल विषय उपरोक्त ग्रुप में सें चुनकर ले सकती है।
अन्तिम उत्तीर्ण परीक्षा *
Senior Secondary B.A. 1 YEAR B.A. 2 YEAR B.A. 3 YEAR B.Sc. 1 YEAR B.Sc. 2 YEAR B.Sc. 3 YEAR B.Com. 1 YEAR B.Com. 2 YEAR B.Com. 3 YEAR Secondary M.A. 1 YEAR M.COM. 1 YEAR M.SC. 1 YEAR B.B.A YEAR 2 B.C.A YEAR 2 B.B.A YEAR 1 B.C.A YEAR 1 B.Com.(Hon) Prev B.Com.(Hon) Final B.C.A. 3 YEAR B.B.A YEAR 3
संकाय *
---चयन करे---
Arts
Commerce
Science
बोर्ड अथवा युनिवर्सिटी का नाम *
उत्तीर्ण / अनुत्तीर्ण होने का वर्ष *
Student Subject Wise Exam * :
यदि किसी वैकल्पिक विषय में पूरक परीक्षा देनी है*
हाँ
नहीं
यदि हाँ तो उस विषय का नाम *
पिता का व्यवसाय*
Government
Private
Other
व्यवसाय का विवरण *
---- सरकारी विभाग का चयन करें ----
Administrative Reforms(AR)
Advocate General, Rajasthan(AGR)
Agriculture(AGRICULTUR)
Animal Husbandry(AH)
Anti Corruption Bureau(ACB)
Archaeology and Museums(AM)
Ayurved(AYURVED)
Biofuel(BIOFUEL)
Board of Revenue(BOR)
Board of Technical Education(BOTE)
Bureau of Public Enterprises(BPE)
Chief Minister Office(CMO)
Co-operative(CO)
College Education(CE)
Command Area Development and Water Utilization(CADWU)
Commercial Taxes(CT)
Disaster Management & Relief(DMR)
Economics & Statistics(ES)
Education(EDUCATION)
Election(ELECTION)
Employee State Insurance(ESI)
Employment(EMPLOYMENT)
Energy(ENERGY)
Environment(ENVIRONMEN)
Evaluation Organization(EO)
Excise(EXCISE)
Factories and Boilers Inspection(FBI)
Finance(FINANCE)
Food(FOOD)
Forest(FOREST)
General Administration & Cabinet Secretariat(GACS)
HCM Rajasthan State Institute of Public Administra(HRSIPA)
Home(HOME)
Horticulture(HORTICULTU)
Indira Gandhi Panchayati Raj & Gramin Vikas Sansta(IGPRGVS)
Industry(INDUSTRY)
Information & Public Relations(IPR)
Information Technology & Communication(ITC)
Jaipur Police(JP)
Justice(JUSTICE)
Labour(LABOUR)
Literacy & Continuing Education(LCE)
Medical Education(ME)
Medical health and family welfare(MHFW)
Mines & Geology, Rajasthan(MGR)
Minority Affairs(MA)
National Rural Health Mission(NRHM)
Panchayati Raj(PR)
Pension & Pensioners Welfare(PPW)
Personnel(PERSONNEL)
Petroleum(PERTOLEUM)
Planning(PLANNING)
Public Health Engineering(PHE)
Public Works(PW)
RajSWAN MIS Portal(RMISP)
Rajasthan Civil Services Appellate Tribunal(RCSAT)
Rajasthan Foundation(RF)
Rajasthan High Court(RHC)
Rajasthan Police(RP)
Rajasthan Police Academy(RPA)
Rajasthan Public Service Commission(RPSC)
Rajasthan Rural Livelihood Project(RRLP)
Rajasthan Tax Board, Ajmer(RTBA)
Rajasthan Urban Infrastructure Development Project(RUIDP)
Redressal of Public Grievances(RPG)
Registration & Stamps(RS)
Rural Development(RD)
Sanskrit Education(SE)
Science & Technology(ST)
Social Justice & Empowerment(SJE)
Soldier Welfare Department(SWD)
State Election Commission(SEC)
State Insurance & Provident Fund(SIPF)
Technical Education(TE)
Tourism(TOURISM)
Transport(TRANSPORT)
Treasuries and Accounts (DTA), Rajasthan(TAR)
Tribal Area Development(TAD)
Urban Development & Housing(UDH)
Water Resources(WR)
Watershed Development & Soil Conservation(WDSC)
Women and Child Development(WCD)
Indian Railway(IR)
MSME Development Institute, Jaipur(MSMEDIJ)
National Informatics Centre, Rajasthan(NICR)
Office of The Registrar General and Census Commiss(OTRGCC)
Rajasthan Telecom Circle(RTC)
Other(Other)
पिता का शैक्षणिक स्तर *
---- शैक्षणिक स्तर ----
Primary
Secondary (10)
Senior Secondary (10+2)
Graduate (UG)
Post Graduate (PG)
Diploma
Illiterate
माता का व्यवसाय *
Government
Private
Other
व्यवसाय का विवरण *
---- सरकारी विभाग का चयन करें ----
Administrative Reforms(AR)
Advocate General, Rajasthan(AGR)
Agriculture(AGRICULTUR)
Animal Husbandry(AH)
Anti Corruption Bureau(ACB)
Archaeology and Museums(AM)
Ayurved(AYURVED)
Biofuel(BIOFUEL)
Board of Revenue(BOR)
Board of Technical Education(BOTE)
Bureau of Public Enterprises(BPE)
Chief Minister Office(CMO)
Co-operative(CO)
College Education(CE)
Command Area Development and Water Utilization(CADWU)
Commercial Taxes(CT)
Disaster Management & Relief(DMR)
Economics & Statistics(ES)
Education(EDUCATION)
Election(ELECTION)
Employee State Insurance(ESI)
Employment(EMPLOYMENT)
Energy(ENERGY)
Environment(ENVIRONMEN)
Evaluation Organization(EO)
Excise(EXCISE)
Factories and Boilers Inspection(FBI)
Finance(FINANCE)
Food(FOOD)
Forest(FOREST)
General Administration & Cabinet Secretariat(GACS)
HCM Rajasthan State Institute of Public Administra(HRSIPA)
Home(HOME)
Horticulture(HORTICULTU)
Indira Gandhi Panchayati Raj & Gramin Vikas Sansta(IGPRGVS)
Industry(INDUSTRY)
Information & Public Relations(IPR)
Information Technology & Communication(ITC)
Jaipur Police(JP)
Justice(JUSTICE)
Labour(LABOUR)
Literacy & Continuing Education(LCE)
Medical Education(ME)
Medical health and family welfare(MHFW)
Mines & Geology, Rajasthan(MGR)
Minority Affairs(MA)
National Rural Health Mission(NRHM)
Panchayati Raj(PR)
Pension & Pensioners Welfare(PPW)
Personnel(PERSONNEL)
Petroleum(PERTOLEUM)
Planning(PLANNING)
Public Health Engineering(PHE)
Public Works(PW)
RajSWAN MIS Portal(RMISP)
Rajasthan Civil Services Appellate Tribunal(RCSAT)
Rajasthan Foundation(RF)
Rajasthan High Court(RHC)
Rajasthan Police(RP)
Rajasthan Police Academy(RPA)
Rajasthan Public Service Commission(RPSC)
Rajasthan Rural Livelihood Project(RRLP)
Rajasthan Tax Board, Ajmer(RTBA)
Rajasthan Urban Infrastructure Development Project(RUIDP)
Redressal of Public Grievances(RPG)
Registration & Stamps(RS)
Rural Development(RD)
Sanskrit Education(SE)
Science & Technology(ST)
Social Justice & Empowerment(SJE)
Soldier Welfare Department(SWD)
State Election Commission(SEC)
State Insurance & Provident Fund(SIPF)
Technical Education(TE)
Tourism(TOURISM)
Transport(TRANSPORT)
Treasuries and Accounts (DTA), Rajasthan(TAR)
Tribal Area Development(TAD)
Urban Development & Housing(UDH)
Water Resources(WR)
Watershed Development & Soil Conservation(WDSC)
Women and Child Development(WCD)
Indian Railway(IR)
MSME Development Institute, Jaipur(MSMEDIJ)
National Informatics Centre, Rajasthan(NICR)
Office of The Registrar General and Census Commiss(OTRGCC)
Rajasthan Telecom Circle(RTC)
Other(Other)
माता का शैक्षणिक स्तर *
---- शैक्षणिक स्तर ----
Primary
Secondary (10)
Senior Secondary (10+2)
Graduate (UG)
Post Graduate (PG)
Diploma
Illiterate
पिता की आय (मासिक)*
माता की आय (मासिक)*
अन्य आय (मासिक)
परिवार में सदस्यों की संख्या *
स्थानीय संरक्षक का विवरण:
(अ) संरक्षक का नाम एवं सम्बन्ध
Copy Address To Guardian Address
(ब) संरक्षक का पता
(स) टेलीफोन नं.
आपातकालीन सूचना हेतु फोन नं *
बस सुविधा की जरूरत है या नहीं *
----- चयन करे -----
Yes
No
----- चयन करे -----
PAOTA
MANDORE
JALORI GATE
C.H.B.
RATANADA
MAHAMANDIR
KUDI BHAGTASANI HOUSING BOARD
अन्य गतिविधिया
Sports
NCC
NSS
शैक्षणिक उपलब्धियों का विवरण:
फोटो अपलोड *
(JPG,JPEG,GIF,PNG IMAGE WITH SIZE UPTO 50 KB)
हस्ताक्षर अपलोड *
(JPG,JPEG,GIF,PNG IMAGE WITH SIZE UPTO 50 KB)
Enter The Text Of Image *
निम्नलिखित प्रमाण-पत्रों सहित आवेदन-पत्र प्राप्त किया
1. अर्हकारी परीक्षा की मूल अंक तालिका तथा दो सत्यापित प्रतिलिपि
5. माइग्रेशन प्रमाण-पत्र मूल एवं दो प्रतिलिपि
2. माध्यमिक परीक्षा के प्रमाण पत्र की दो प्रतिलिपि
6. गत संस्थान द्वारा प्रदत्त चरित्र प्रमाण-पत्र की मूल प्रति
3. स्थानान्तरण प्रमाण-पत्र मूल एवं दो प्रतिलिपि
7. आय प्रमाण-पत्र की दो प्रतिलिपि
4. अ.जा. / अ.जा.जाति/ अ.पि.वर्ग / विकलांग प्रमाण-पत्र की दो प्रतिलिपि कश्मीरी वि. प्रमाण-पत्र
8. खेलकूद एन.सी.सी. एन.एस.एस. प्रमाण-पत्र
9. अन्य
नोट:
1. सभी प्रमाण-पत्रों की प्रतियां सत्यापित होनी चाहिए एवं विद्यार्थी महाविद्यालय में आवश्यक प्रमाण-पत्र जमा करवाने के पश्चात ही प्रवेश के लिए योग्य होगा।
2. महाविद्यालय परिसर में मोबाइल लाना मना है| छात्रा के पास मोबाइल पाये जाने पर दण्डात्मक कारवाई की जाएगी |
3. महाविद्यालय में यूनिफार्म में आना अनिवार्य है |
घोषणा
मैं महाविद्यालय के अनुशासन तथा अन्य समस्त नियमों का भली-भांति पालन करूंगी , एव में किसी भी प्रकार की रेगींग और किसी को भी उत्पीड़ित करने के मामले में समलित नहीं रहूंगी | मैंने प्रवेश नियम एवं सामान्य अनुदेश सूचना पुस्तिका से पढ लिए हैं और सब नियम मुझे स्वीकार है। मैं यह घोषणा करती हूँ कि मैं किसी सरकारी / अर्धसरकारी या निजी संस्थान में कार्य नही करती हूँ ।
दिनांक :
छात्रा के हस्ताक्षर
मैं प्रमाणित करता हूं कि उपरोक्त विवरण ठीक है और मैं उसका पिता संरक्षक होने के नाते उसके आचरण तथा वित्तीय संबंधी उत्तरदायित्व के लिए उत्तरदायी रहूंगा। छात्रा की नियमित उपस्थिति (न्यूनतम 75 प्रतिशत) सुनिश्चित करूंगा अन्यथा परीक्षा में प्रवेश से वंचित होने की दशा में स्वयं उत्तरदायी रहूंगा।
दिनांक :
पिता / संरक्षक के हस्ताक्षर