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1.Application Applied For:
Form No.
Registration No.
1. Programme Applied For :
--Select course--
MBA (Technology & Management) Full Time
Diploma in Agriculture ( Extension Service )
Diploma in Pharmacy ( D.Pharma)
Diploma ( Naturopathy and Yoga Sciences)
Bachelor of Business Administration ( BBA )
Bachelor of Science (Agriculture )Honours B.Sc( Ag ) Hons.
BA.LLB ( 5 Year Integrated )
Diploma in Engineering ( Various Branches)
B.Tech. in CS / ME/ EE/ CE
Master of Business Administration ( MBA )
BBA.LLB ( 5 Year Integrated)
BCA (MCA)
M. Tech
Bachelor of Architecture ( B. Arch )
Bachelor of Science ( PCM )
Bachelor of Education ( B.Ed.)
Bachelor of Physiotherapy ( BPT )
Master of Physiotherapy ( MPT )
Ph.D.
Bachelor of Pharmacy ( B.Pharma)
2. Campus :
Jaipur Campus
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2. Personal Details
Name:
Gender:
Male
Female
Father's Name:
Category:
General
OBC
ST
SC
Other
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
--Select Year--
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
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1987
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2015
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2019
2020
2021
12th
--Select Year--
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
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2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Graduation
--Select Year--
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Post Graduation
--Select course--
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
Any Other Qualification
--Select Year--
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
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2014
2015
2016
2017
2018
2019
2020
2021
*Subject to approval by the competent body