Candidate Registration(Step:1)
Student's Name
*
Father's Name
*
Mother's Name
*
Date of Birth
*
(DD/MM/YYYY)
Mobile Number
*
Email ID
*
Adhar Card Number
*
Gender
*
Category
*
FEMALE
MALE
TRANSGENDER
General
SC
ST
OBC
Address
*
State
*
District
*
Andaman and Nicobar Island
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Agra
Aligarh
Allahabad
Ambedkar Nagar
Auraiya
Azamgarh
Baghpat
Bahraich
Ballia
Balrampur
Banda
Barabanki
Bareilly
Basti
Sambhal (Bhim Nagar)
Bijnor
Budaun
Bulandshahr
Chandauli
Amethi (Chatrapati Sahuji Mahraj Nagar)
Chitrakoot
Deoria
Etah
Etawah
Faizabad
Farrukhabad
Fatehpur
Firozabad
Gautam Buddha Nagar
Ghaziabad
Ghazipur
Gonda
Gorakhpur
Hamirpur
Hardoi
Hathras
Jalaun
Jaunpur
Jhansi
Amroha (J.P. Nagar)
Kannauj
Kanpur Dehat
Kanpur Nagar
Kanshiram Nagar (Kasganj)
Kaushambi
Kushinagar (Padrauna)
Lakhimpur - Kheri
Lalitpur
Lucknow
Maharajganj
Mahoba
Mainpuri
Mathura
Mau
Meerut
Mirzapur
Moradabad
Muzaffarnagar
Hapur (Panchsheel Nagar)
Pilibhit
Shamali (Prabuddh Nagar)
Pratapgarh
RaeBareli
Rampur
Saharanpur
Sant Kabir Nagar
Sant Ravidas Nagar
Shahjahanpur
Shravasti
Siddharth Nagar
Sitapur
Sonbhadra
Sultanpur
Unnao
Varanasi
Pincode
*
Aarogya setu app
*
YES
NO
Parent's Mobile Number
*
EWS Applicable
*
Are You Vaccinated?
YES
NO
YES
NO
Upload 10th Marksheet / certificate (Max Size 50 KB in pdf format)
*
Photo in JPEG format (Maximum upload size is 50 KB only)
*
Sign in JPEG format (Maximum upload size is 50 KB only)
*
*
Registration Fee 100 Rupees Fee
*
I confirm that, Before Submit the online application insure that all the entries have been entered correctly no correction will be allow after submission of the form at any stage.
DR. BHIMRAO AMBEDKAR UNIVERSITY, AGRA