MEWAR UNIVERSITY
STUDENT REGISTRATION FORM
1. COURSE APPLIED FOR
Name of Course:*
2. STUDENT PERSONAL INFORMATION
Student Name:*
(Exactly as it appears in the certificate of qualifing examination/10th Marksheet)
Father's Name:*
Mother's Name:*
Date Of Birth:*
Gender: Male Female Category:*
Mobile Number:*
(10 digit number)
Parents Mobile Number:
(10 digit number)
Email Id: Land Line No.
(Include STD No):
3. STUDENT CONTACT INFORMATION
Correspondence Address: Permanent Address:
State: State:
City:
City:
Pin Code:
Pin Code:
4. STUDENT ACADEMIC INFORMATION
Sr.No Exam/Degree Institution/Board/University Name Passing Year Medium CGPA/Percentage Submit Scan Copy
1. 10th(Matriculation)
2. 12th(Intermediate)
5. STUDENT SCHOOL INFORMATION AT PRESENT
School Name:*
School Registration No:
School Address:*
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Upload Scanned Signature (.JPG,.GIF,.PNG)