If already applied, click here to get print application form.

1.Application Applied For:

Form No.
Registration No.
1. Programme Applied For :
2. Campus : Jaipur Campus


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2. Personal Details

Name:
Gender:
Father's Name:
Category:
Date Of Birth:
Nationality:

3.Contact Details

Email Id::
Phone No:
Mobile No:
Address:
Examination Passed Name of The Stream School / College and Board / University Year of Passing Subject Studied Marks Obtained Maximum Marks % of Marks
10th
12th
Graduation
Post Graduation
Any Other Qualification


I authorize Jagan Nath University to contact me with updates & notifications via Email, SMS, WhatsApp & voice call. This will override the registry on DND / NDNC. * * *


*Subject to approval by the competent body