DR. BHIMRAO AMBEDKAR UNIVERSITY, AGRA

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 *

Address *	State *	District *

Pincode *	Aarogya setu app *

Parent's Mobile Number *	EWS Applicable *	Are You Vaccinated?

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.