Course applied for	Course Type Select Course Type UG PG	Course Select Course
Did You Passed	Select Yes No

Personal Information

* Name		* Date of Birth (Ex - 01-APR-2023)
* Father Name		Father Mobile
* Mother Name		Mother Mobile
Guardian Name		Guardian Mobile
Gender	Select Gender Male Female Transgender
Category	Select Category General OBC SC ST	Caste
EWS(if Gen)*	N/A	Subcategory	N/A Physical Handicapped Dependent of Freedom Fighters Ex Serviceman and their Dependent Dependent of Kargil Saheed Kashmir Migrants Ward of Working Militay Personnel and their Dependent
Nationality	Indian Foreigner	Religion	Select Religion Hindu Muslim Sikh Christian Buddh
Parent Annual Income		Residence	Select Residence Type Urban Rural
Weightage 1	N/A Student Passed from Intermediate College/PG College Running Under Maharana Pratap Shiksha Parishad Sports Player at National Level Sports Player at State/Mandal or Inter University Candidate Serving for 240 Hours and Participating in Two Camps in NSS Candidate Serving for 240 Hours and Partcipating in One Camps in NSS C Certificate in NCC B Certificate in NCC Candidate getting President S/Governer Prize in Rover/Rangers Candidate getting Third Sopaan/Nipun Certificate in Rover/Rangers Candidate getting Second Sopaan/Praveen Certificate in Rover/Rangers Ward of Employee of DDUGU/Colleges Affiliated To DDUGU Gorakhpur Student Passed from the College Applied Application from at UG Level	Weightage 2	N/A Student Passed from Intermediate College/PG College Running Under Maharana Pratap Shiksha Parishad Sports Player at National Level Sports Player at State/Mandal or Inter University Candidate Serving for 240 Hours and Participating in Two Camps in NSS Candidate Serving for 240 Hours and Partcipating in One Camps in NSS C Certificate in NCC B Certificate in NCC Candidate getting President S/Governer Prize in Rover/Rangers Candidate getting Third Sopaan/Nipun Certificate in Rover/Rangers Candidate getting Second Sopaan/Praveen Certificate in Rover/Rangers Ward of Employee of DDUGU/Colleges Affiliated To DDUGU Gorakhpur Student Passed from the College Applied Application from at UG Level

Contact Details

* Aadhar Number		* Email Id
* Mobile No		Alternate Mobile
* Permanent Address
State	Select State Andra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttarakhand Uttar Pradesh West Bengal Andaman and Nicobar Islands Chandigarh Dadar and Nagar Haveli Daman and Diu Delhi Lakshadeep Pondicherry	District	Select District
Pincode		Country

Academic Details

Name of Exam	Roll Number	Passing Year	Marks Obtain	Total Marks	Board/University	Result
* High School
* Intermediate
* UG (for PG)

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