Application no.:
Date : 12/5/2020 7:25:22 PM
College :
Course :
Session : 2018-2019
Cupon S.No. :
Photo must be Less than 100 kb!----->
Signature must be Less than 50 kb!----->
Personal Detail
Student Name : Date of Birth (DD-MM-YYYY) :
Father's Name : Mother's Name :
Religion : Nationality :
Category :
Sex : Marital Status :
Email : Phone / Mobile No :
Local Address :
Village : Post : P.S. :
District : Pin : State :
Permanent Address :
Village : Post : P.S. :
District : Pin : State :
Educational Detail :
Examination Pass Board / University Passing Year Aggregrate Total Marks Aggregrate Marks Obtained % of Marks
GRADUATION PART-I
GRADUATION PART-II
GRADUATION PART-III
GRAND TOTAL (Aggregrate)
Are you a student of V. K. S. University, Ara : YES / NO University Registration No :

I hereby declare that to the best of my knowledge and belief, information furnished by me is trure and complete and that my candidature / admission is liable to be cancelled any time if it is found to be incorrect or incomplete

Cupon Detail :