Helpdesk
DIAL +91 945 133 1276

ADMISSION FORM

Course Name of Applicant Father's Name Mobile
E-mail Date of Birth Mother's Name Telepone
Academic Information 10th 12th UG PG
Gender Physically Handicapped Address
Category Nationality Captcha
Declaration

I, hereby declare that all the particulars given above are true, complete and correct to the best of my knowledge and belief. I have never been convicted by any court of law or disqualified by any Board / University. My admission may be cancelled and appropriate action be taken against me at any stage, if any information furnished by me is found to be incorrect or misleading. I am aware of University approach toward ragging and the punishment to which I am liable and if found guilty of ragging. Disputes, if any, are subject to Azamgarh jurisdiction only.

Invalid Captcha Code.

Submitted Successfully.