6/14/23, 6:47 PM Student Print form

Ram Krishna Dharmarth Foundation University, Bhopal

Admission Form : 2023-2024

Registration No : 232001073
Course Details
Course Name : DIPLOMA
Branch Name : DIPLOMA IN CIVIL ENGINEERING
ENGINEERING
Eligibility : 10th
Personal Details :-
Candidate's Name : SAROJ SIDDHARTH
Father's/Husband Name : MANOJ KUMAR
KUMAR
Mother's Name : MEENA KUMARI Father's/Husband Occupation :
Aadhar No : Date of Birth : 27/11/2001
Email : siddharth.saroj98@gmail.com Mobile : 9157720026
Category : GEN Gender : Male
Parent Mobile No : Domicile of : ALL INDIA Qualification : 10th
Mailing Address :-

College Choice Details :

Choice
College Code College Name
No
1 22 Institute Of Polytechnic Engineering
Academic qualification :
Roll Max Obt
Class College/School Year Board/University Percent Subjects
No Marks Marks
Photo & Signature :

How did you come to know about the university :

Declaration : -

I SAROJ SIDDHARTH KUMAR S/D/W of MANOJ KUMAR Applied for Course :

DIPLOMA ENGINEERING in Admission Year : 2023-2024 for Regular Admission.
I will submit Online Registration Form along with uploaded documents in university
otherwise my online registration stands CANCELLED.
I am going to submit my Online Registration Form along with Original TC and Original
Migration Certificate otherwise University can CANCEL my registration.
I will attend the classes regularly and maintain 75 % attendance, if I am eligible for
scholarship, it will be my own responsibility to fulfill all formalities for scholarship.
I hereby declare that particularly stated this application form is true to the best of my
knowledge and belief.
I have read and understood all provisions of regular admission, rules & regulation of
University and agree to abide by them.
I also affirm that I fulfill the eligibility requirements for the courses applied.In events of
submission of fraudulent or incorrect information or suppression or distortion of any fact like
about:blank 1/2
6/14/23, 6:47 PM Student Print form

Ram Krishna Dharmarth Foundation University, Bhopal

Admission Form : 2023-2024

Registration No : 232001073
Educational Qualification, Marks, Nationality etc.
I understand that my Registration is liable for cancellation.
I further understand that my registration is purely provisional subject to the verification of
the eligibility conditions.

Candidate's Signature ............................

about:blank 2/2