आवेदन पत्र
Shree P. L. Memorial P. G. College
Barabanki
Please enter all the fields correctly.
Course
:
Category
--
General
SC
ST
OBC
Caste
--
Hindu
Muslim
Christian
Sikh
Buddhist
English Name
:
--
Mr.
Mrs.
Miss
Hindi Name
:
--
श्री
श्रीमती
कुमारी
Date of Birth
:
Gender
--
Male
Female
Aadhar No
Email
:
Mobile
Photo
:
(png, jpg/jpeg or gif)
Signature
:
(png, jpg/jpeg or gif)
Father Name
:
Occupation
Mobile
Mother Name
:
Occupation
Mobile
Qualifying Exam
:
--
Passed
Appeared
From Ram Mohan Lohia Univ?
Exam
Board/Univ.
Institute
Year
Roll
Div.
F/Mark
Marks
%
High School
I
II
III
Intermediate
I
II
III
BA/Bsc Part-1
I
II
III
BA/BSc Part-2
I
II
III
BA/BSc Part-3
I
II
III
BED/LT
I
II
III
MA/MSc Part-1
I
II
III
MA/MSc Part-2
I
II
III
Permanent Address
Address
:
State
:
City
PIN
Phone
:
Email
Local Address
same as permanent.
Local Guardian
:
Address
:
State
:
City
PIN
Phone
:
Email
Place
:
Subimission Date
:
