ONLINE APPLICAION FORM FOR 3rd CONVOCATION : 2018

Name of the Degree/Diploma:

Select Department:

Applicant's Name in Full :

Father's Name : Occupation :

Mother's Name: Occupation :

Guardian's Name (if Father expired) : Occupation :

Permanent Address :

Road/Ward:

Village/Town:

P.O:

District:

State:

PIN:

Phone No(s):

Email ID:

Present address :

Road/Ward:

Village/Town:

P.O:

District:

State:

PIN:

Phone No(s):

Email ID:

Date of Birth:

Nationality:

Sex: Male Female

University last attended:

Registration No.: