Online Admission Form 2023-2024

Instructions

• All * mark fields are mandatory.
• After submitted the online form, it's not editable. So carefully review your details before submitting.

Paper Details

College's Name	Rajkeeya Mahila Mahavidyalay, Salempur, Deoria	Enrollment Number
Type Of Student	REGULAR	Mode of Examination	Hindi English
Course/Class *	-Class- BA Required	Aadhaar No	Required
Subject 1: *	-Subject 1- Required
Subject 2: *	-Subject 2- Required
Subject 3: *	-Subject 3- Required

Applicant's Profile

Applicant's Name *	Required	Permanent Address * Address Maximum 300 Characters.	Required		Category *	-Category- GEN OBC SC ST Other Required
Date of Birth *	-Day- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -Month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -Year- 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 *Day *Month *Year
Gender *	--Gender-- Male Female Required	District *	Required		Email Id	Invalid Email
Father's Name *	Required	Pin *	Required		Nationality *	INDIAN OTHER
Mother's Name *	Required	State *	-State- ANDHRA PRADESH JHARKHAND KARNATAKA KERALA MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM ORISSA PONDICHERRY ASSAM PUNJAB RAJASTHAN TAMIL NADU TRIPURA UTTAR PRADESH UTTARANCHAL WEST BENGALI ARUNACHAL PRADESH BIHAR CHANDIGARH CHHATISGARH DELHI GUJARAT HARYANA JAMMU AND KASHMIR Required		Minority *	--Select-- YES NO Required
Personal Phone/Mobile  *	Required	Postal Address *	Postal Address Same as above Required		Religion *	--Religion-- HINDU MUSLIM SIKH JAIN PARASI BUDHIST CHRISTIAN OTHER Required Religion
Guardian's Name  *	Required	State *	-State- ANDHRA PRADESH JHARKHAND KARNATAKA KERALA MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM ORISSA PONDICHERRY ASSAM PUNJAB RAJASTHAN TAMIL NADU TRIPURA UTTAR PRADESH UTTARANCHAL WEST BENGALI ARUNACHAL PRADESH BIHAR CHANDIGARH CHHATISGARH DELHI GUJARAT HARYANA JAMMU AND KASHMIR Required		Caste *	Required
Relationship  *	Required	District *	Required		Father's/Guardian's Occupation *	--Select-- Service Self Employee Agriculture Required Occupation
Parent's Mobile No. *	Required	Pin *	Required		Annual Income *	--Income-- UP           to 1 Lac More than 1 lac upto 2 lac More than 2 lac upto 6 lac More than 6           lac upto 8 lac Above 8 lac Required Parent's Income

Details Of Previous Examination

Name Of Exams	Board/University	School Name	Subjects	Roll Number	Year	Division	Max Mark	Marks Obt.	%(Percent)
High School	Required	Required	Required	Required	Required Invalid Year	Required	Required	Required	Required
Intermediate	Required	Required	Required	Required	--Select-- 2021 2022 2023 2024 APPEARED Select Value	Required	Required	Required	Required

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