10/19/21, 12:58 PM Admission Form

Admission Form JUL-2021

3 Year [Old Student]- Bachelor
Of Arts [08]

Admission Fee : 2700 Portal Fee : 56

Registration Fee : 250 Late Fee: 0
Degree Fee: 0 Total Fee : 3006
Paid Status : Payment done on 19 Oct 2021 Transaction Id : 21101929203990347462
Payment Mode : cash [KIOSK Id:- K20160921031035]

Form Application Number B21065773 Enroll/Roll Number 19130808167

Session JUL-2021 Regional Center Name Sagar 13
Study Centre Name GOVERNMENT COLLEGE JABAIRA, DAMOH [1308] Course Name Bachelor Of Arts [08]
Medium Hindi Admission Type Distance Mode Regular
Admission Year 3 Year [Old Student] Parents Income : NA

Personal Details
First Name RUCHI Last Name SINGH RAJPOOT

Name In Hindi िि ििि िििििि DOB(DD/MM/YYYY) 13/09/1990

Father's name ASHOK SINGH RAJPOOT

Mothers's Name MITHLESH SINGH RAJPOOT Marrital Status Unmarried
Category OBC Religion Hindu
Nationality Indian
Handicapted No Gender Female
Area Urban Social Status Un Employed

Address - Correspondance Address - Permanent

abhinandan nagar abhinandan nagar
House No : saraswati shishu man Colony : House No : saraswati shishu man Colony :
makroniya makroniya
City : sagar State : Madhya Pradesh City : sagar State : Madhya Pradesh
District : sagar Pincode : 470004 District : sagar Pincode : 470004

Other Details
Phone Number :
Mobile Number : ******0304 Email Id : ******************.com
(With STD Code)

Previous Education Details

BHOJ UNIVERSITY BA (3YDC) SECOND YEAR 2021 - PASS 2021 0600 0397

Paper Detail

3BA01 FC-I (Hindi)

3BA02 FC-II (English)
3BA03 FC-III(Computer)
3BA04 Political Science-I
3BA05 Political Science-II
3BA10 Sociology-I
3BA11 Sociology-II
3BA19 Geography-I
3BA20 Geography-II

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10/19/21, 1:19 PM Admission Form
Enclosures
Proof for DOB Marksheet[10+2] Cast Cert. Handicapted Cert. Domicile Cert. TC Migration Cert.
Yes Yes No No No No

सूचना
विश्वविद्यालय के सूचनानुसार सभी श्रेणी के छात्रों को फॉर्म भरते समय पूरा शुल्क देना
होगा.

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