Student Name *

Student Name in Hindi (छात्र का नाम हिंदी में) *

Father's Name *

Mother's Name *

Gender * Select Gender MALE FEMALE TRANSGENDER

Date of Birth *

College Roll Number *

Mobile Number *

Email Id *

Department Select Department BA BSC BCOM

Honours Subject Select Subject

Session Year Select Session Year 2018-21 2020-23

Academic Year Select Academic Year PART III

University Roll No. *

University Registration No. *