DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSITY, GORAKHPUR

 
Session : 
(Semester-1)
Online Registration (Page-I)
PRO G RAMM
YEAR : 
         LAST SEM G .P.A. : 
O G PA :
NAME:
FACULTY: DEPARTMENT::
ID NUMBER: ENRO LL. NO. :
NAME IN
FATHER'S NAME:
FULL.:
MO BILE NO.: EMAIL ID:
ADDRESS:

STUDENT NAMEEE MENTOR/ADVISIOR AO/FO C.O.E. REGISTRAR DEAN/HOD

 
DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSITY,
GORAKHPUR  
Session : 
(Semester-1)
Fee Details
PAYABLE
T IT LE FEE AMO UNT
AMO UNT
REG ISTRATIO N FEE 150.00 150.00
EXAMINATIO N FEE 1308.00 1308.00
MARK SHEET FEE 100.00 100.00
DEG REE FEE 00.00 00.00
SPO RTS FEE 50.00 50.00
RASTRA G AURAV FEE 15.00 15.00
RO VER RANG ER FEE 08.00 08.00
O NLINE MARKSHEET DISTRIBUTIO N DEDUCTIO N FEE -15.00 -15.00
T OT AL AMO UNT 1508.00 1508.00
 DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSITY, GORAKHPUR
Online Examinat ion Form
(Page-II)
 

      

REGISTRATION NUMBER:  
A: STUDENT DETAILS
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INST IT UT E NAME:  
COURSE / CLASS            T YPE OF EXAM :   
CANDIDAT E'S NAME:             ENROLLMENT  NO :  
FAT HER'S NAME:
MOT HER' S NAME :
DAT E O F BIRT H:               
GENDER : 
CAT EGO RY :               
O RIGINAL RESIDENT O F :
SUBCAT EGO RY:  
PHO NE / MO BILE :               
DIST RICT :
MEDIUM O F EXAMINAT IO N :                EMAIL :

NAT IO NALIT Y:  
ADDRESS :
 
SUBJECT S / GRO UPS
 
BOARD /
CLASS RO LL NUMBER PASSING YEAR  MARKS O BT AINED MAXIMUM MARKS
UNIVERSIT Y
 
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B: DECLARATION
 
I SO LEMNLY DECLARE THAT ALL THE INFO RMATIO N MADE ABO VE ARE TRUE TO THE BEST O F MY KNO WLEDG E AND BELIEF. IF ANY  
INFO RMATIO N IS FO UND INCO RRECT, MY CANDIDATURE CAN BE CANCELLED.
Past e same
phot ograph as
uploade d on port al
अभ्यर्थी का नाम हिंदी में पिता का नाम हिंदी में SIGNAT URE O F CANDIDAT E

     
CERTIFIED THAT SRI. /KM / SMT.  IS A BO NAFIDE STUDENT O F  . ALL THE DO CUMENTS O F QULIFYING
EXAMINATIO NS HAS BEEN VERIFIED, FO UND CO RRECT AND REQUIRED DO CUMENTS ARE ATTACHED
WITH THIS EXAMINATIO N FO RM . ATTENDANCE IS MO RE THAN 75% (IN CASE O F REG ULAR STUDENT
O NLY). 
THE CANDIDATE,   , IS ELIG IBLE FO R APPLIED EXAMINATIO N.
DATE:

SIG NATURE O F O FFICE ASSISTANT CO NT RO LLER O F EXAMINAT IO N

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RECEIVING FROM OFFICE
FORM NO.    COURSE: 
 [
]
CO LLEGE NAME: 
 
NAME: FAT HER NAME: 
   
SUBJECT / GRO UPS :
 
MINO R PAPER :
DAT E:                                                                                                                             SIGNAT URE O F O FFICE ASSIST ANT
  
DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSIT Y,
GORAKHPUR
Session :

 
ONLINE PAYMENT RECIPT
   
FO RM NO.: FO RM SUBMISSIO N DATE:
NAME O F STUDENT: DATE O F BIRTH:
NAME O F CO URSE:   TYPE O F STUDENT:
FEE DETAILS:    
SL. NO. PART ICULAR AMO UNT
1. EXAM FEE
  T OT AL FEE
PAYDATE:
  Transaction Number :
 
   
   
   
 
 

 
DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSIT Y, GORAKHPUR
Session : 
Challan (Account Sect ion Copy )
   
CHALLAN DATE:  
REPO RT TO BANK: LAST DATE O F FEE DEPO SIT::
BANK NAME:ALLAHABAD BANK, UNIVERSIT Y BRANCH, GO RAKHPUR SCREEN CO DE:
ENTITY CO DE:  
FO RM NO.: FO RM SUBMISSIO N DATE:
NAME O F STUDENT: DATE O F BIRTH:
NAME O F CO URSE: TYPE O F STUDENT:
FEE DETAILS:    
SL. NO. PART ICULAR AMO UNT
1. EXAM FEE
2. FO RWARDING FEE 0 
3. DEG REE FEE 0 
4. LATE FEE 0 
5. BANK CHARG ES 1  
  T OT AL FEE
DATE
  Journal Number :
SIG NATURE O F STUDENT
Importa nt Ins truc tions For S tude nts  
1. Printing of form will be available after 48 hours from the date of deposit of bank challan
amount.
 
2. Fee will not be accepted after last date. BANK SEAL & SIGNATURE
Note : Cha lla n a mount of e xa mina tion fe e s mus t be de pos ite d in a ny bra nc h of "Alla ha ba d B a nk" .
 
  
DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSIT Y, GORAKHPUR
Session :
Challan (St udent Copy)
   
CHALLAN DATE:  
REPO RT TO BANK: LAST DATE O F FEE DEPO SIT:
BANK NAME: ALLAHABAD BANK, UNIVERSIT Y BRANCH, GO RAKHPUR SCREEN CO DE:
ENTITY CO DE:  
FO RM NO.: FO RM SUBMISSIO N DATE:
NAME O F STUDENT: DATE O F BIRTH:
NAME O F CO URSE: TYPE O F STUDENT:
FEE DETAILS:    
SL. NO. PART ICULAR AMO UNT
1. EXAM FEE
2. FO RWARDING FEE 0 
3. DEG REE FEE 0 
4. LATE FEE 0 
5. BANK CHARG ES 1  
  T OT AL FEE
DATE
  Journal No.
SIG NATURE O F STUDENT
Importa nt Ins truc tions For S tude nts  
1. Printing of form will be available after 48 hours from the date of deposit of bank challan
amount.
 
2. Fee will not be accepted after last date. BANK SEAL & SIGNATURE
Note : Cha lla n a mount of e xa mina tion fe e s mus t be de pos ite d in a ny bra nc h of "Alla ha ba d B a nk" .
 
  
DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSIT Y, GORAKHPUR
Session :
Challan (Bank Copy)  
   
   
CHALLAN DATE:  
BANK NAME: ALLAHABAD BANK, UNIVERSIT Y BRANCH, GO RAKHPUR SCREEN CO DE:
ENTITY CO DE:   
FO RM NO.: FO RM SUBMISSIO N DATE:
NAME O F STUDENT: DATE O F BIRTH:
NAME O F CO URSE: TYPE O F STUDENT:
FEE DETAILS:    
SL. NO. PART ICULAR AMO UNT
1. EXAM FEE
2. FO RWARDING FEE 0 
3. DEG REE FEE 0 
4. LATE FEE 0 
5. BANK CHARG ES 1  
  T OT AL FEE
DATE
  Journal No.
SIG NATURE O F STUDENT
Importa nt Ins truc tions For S tude nts  
1. Printing of form will be available after 48 hours from the date of deposit of bank challan
amount.
 
2. Fee will not be accepted after last date. BANK SEAL & SIGNATURE
Note : Cha lla n a mount of e xa mina tion fe e s mus t be de pos ite d in a ny bra nc h of "Alla ha ba d B a nk" .