Convocation Form

Registration Form

Please read the instructions carefully before filling in the form. All entries must be filled in correctly. Application with incorrect and incomplete entries will be rejected.

Candidate First Name

Candidate Last Name

Father Name

Residential Address

Phone No.

Mobile No.

Email Address

Enrollment No

Name of Exam Passed

Division

Specialization

Month & Year of Passing

Mode of Receipt of Degree/ DiplomaSelect ModeIn PersonBy Post (Inc. Rs. 500 Degree Charges)

DegreeSelect DegreeResearch()Post Graduate()Under Graduate()Diploma Programmes()Research Programmes()Master’s Programmes()Bachelor’s Programmes()Dual Programme()Integrated Programme()Lateral Entry Programmes()PG Diploma Programmes()Certificate()One Year Diploma Programmes()Six Months Diploma Programme()

Payment TypeSelect Payment TypeCashDD

Amount of Registration Fees

Type the characters from the picture

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