Registration Form | Sri Mahavir Prasad Mahila Mahavidyalaya lucknow

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Admission Form

Fill In the Application Form In Capital Letters

This application form is to be filled in applicants own hand neatly and legibly.

Only self attaested copies of testimonials and other documents be submitted as that will not be returned.

Original certificates and Mark sheets to be deposited, if selected.

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Category

S.C./S.T.
OBC
GEN

Sub Category

Date Of Birth *

DD/MM/YYYY

Session

Name *

First

Last

Student Numbers / WhatsApp *

Student Email *

Mother Name *

First

Last

Father's Name *

First

Last

Nationality

Gender

Male
Female

Communication Address *

Address

City

State

Zip

Registration Fee Details *

Payment Mode with Bank Name

Transaction Id

Amount(in Rs.)

Date of Transaction

Academic Achievements

High School
Intermediate
Graduation
Post Grad
Any Other Qualification

Please select your qualifications.

High School *

Board/University

Year

Mark Sheet No

Roll Number

Total Marks

Marks Obtained

Intermediate *

Board/University

Year

Mark Sheet No

Roll Number

Total Marks

Marks Obtained

Graduation

Board/University

Year

Mark Sheet No

Roll Number

Total Marks

Marks Obtained

Post Grad

Board/University

Year

Mark Sheet No

Roll Number

Total Marks

Marks Obtained

Any Other Qualification

Board/University

Year

Mark Sheet No

Roll Number

Total Marks

Marks Obtained

Upload Files *

Photo

Signature

File size should not greater than 4MB