Student Academic Panel
candi Web Registration 2019-20

Web Registration Form

Session : 2019-20

Course Level :      Select Level (UG/PG)    
Course Name :    
(1) Basic Information
Name:*   Father's Name:*  
Mother's Name:*   Gender:*
Caste Category:* Sub Category:*

Domicile :*
Parent's Income : *   Mother Tongue:
Nationality : *
State from where Passed Qualifying Exam: *
Hostel Required : *  
(2) Contact Details
 Date of Birth:* (DD/MM/YYYY)     Mobile Number:*
Email Address:*


Postal Address:*   District:*  
Aadhar No. :   
(3) Qualification Details
  Exam Name * Status* Board Name / University     * Subject Passing Year* Roll Number* Marks Obt* Total Marks* Percent %
    (4) Candidate Identity
अपनी नई, रंगीन और स्पष्ट पासपोर्ट साइज की फोटो
निर्दिष्ट सूचना के अनुसार अपलोड करें
Upload Photo (Image size 100 KB to 150 KB)*  
only (.jpg)  
Upload Signature (Sign. size 100 KB to 150 KB)*