Father's / Husband's Name *
(Please do not write Mr./Ms./Sh./Smt./Dr./Prof.)
(Please do not write Mr./Ms./Sh./Smt./Dr./Prof.)
(Please do not write Mr./Ms./Sh./Smt./Dr./Prof.)
Date of Birth *
- Date -
1
2
3
4
5
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31
- Month -
January (1)
Febuary (2)
March (3)
April (4)
May (5)
June (6)
July (7)
August (8)
September (9)
October (10)
November (11)
December (12)
- Year -
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
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1945
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1943
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1941
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1937
1936
1935
1934
1933
1932
1931
1930
Upload Date of Birth Proof (PDF only) *
Upload PDF size max 300Kb
Gender *
--Select Gender--
Male
Female
Other
Martial Status *
--Select Martial Status--
Married
UnMarried
Widowed
Divorced
Nationality *
--Select Nationality--
Indian
Other
Divyang Jan(Persons with Benchmark Disabilities)? *
-------Select Divyang Jan----------
Not Applicable
Category (A): Blindness and Low Vision
Category (B): Deaf and Hard of Hearing
Category (C): Locomotor Disability (includes conditions like Cerebral Palsy, Leprosy Cured, Dwarfism, Acid Attack Victims, Muscular Dystrophy)
Category (D): Autism Spectrum Disorder, Intellectual Disability, Specific Learning Disability, and Mental Illness
Category (E): Multiple Disabilities (Combinations from categories A-D, Including Deaf-Blindness)
Are you Ex-Serviceman? *
--Select Are you Ex-Serviceman? --
Yes
No
Tel No. (Residence/Office)
Select Exam Centre
Select City For Written Test * Applicants may note that if the number of candidates at any centre is fewer than 50, the centre will be shifted to a another examination centre at the discretion of the University.
--Select City --
Delhi
Mumbai
Chennai
Kolkata
Language(s) Known
[Separate with a (,) if entering more than one]
Address Details
Give the Reference of those Scholars/Reputed person who knows about you
Reference 1 *
Reference 2 *
Photo and Signature
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Confirmation