Student Registration Form
Registration Date
College Reg. No.
Name
Gender
Select
Female
Male
Father's Name
Mother's Name
Mobile No.
E-mail
Category
Select Category
General
SC
ST
OBC
Religion
Select Religion
Hindu
Minority
Domicile in UP
Yes
No
Is Handicapped
No
Yes
Date of Birth
Upload Photo
Address
Educational Qualification
10th Pass Details
10th Board/University
Year of Completion
Roll No.
Max. Marks
Obt. Marks
Marks(%)
12th Pass Details
12th Board/University
Year of Completion
Roll No.
Max. Marks
Obt. Marks
Marks(%)
Under Graduate Pass Details
Board/University
Subject
Year of Completion
Roll No.
Max. Marks
Obt. Marks
Marks(%)
Submit
