RAJIV GANDHI GOVT. POST GRADUATE COLLEGE AMBIKAPUR, C.G.
AUTONOMOUS COLLEGE AFFILIATED TO SARGUJA VISHWAVIDYALAYA, AMBIKAPUR (APPLICATION PAGE)

APPLICATION PAGE DETAILS
Application no.
Application date
Applied Course
Semester
Month/Year /
Student  Name (10th Dased)/Autonomous Enrolment /

Aadhar No.
F_Name
M_Name
Occupation
Marride
Current Address
Parmanant Address

   

Mobile No
Email
Annual Income
Domicile Status/Duration in year / Years
Differently Abled
Date of birth
Age in Year
Gender
Caste
Category/Religious /
Blood Group
Hobby
Eligibility Exam Detail
Year
Course
University
College
Max Marks/Obtain Marks Total Marks:-   Obtain Marks:-
Result/Percentage (in%)  in %
NCC/NCC/NSS/Scoud Guide or other 
Sports/Litratures/Cultural Activity 
Are you accused  in any illegal Activity 
Registration Fee Details for Entrance Examination:
Draft No/Date/Amount No_______________Date :- ___________Amount __________
Bank Name ___________________________________________________
                                                                                                           Student Signature________________
 Name, Date and Place:
_________________________________________________________________
Official Use only
         Provisionaly admission in the course is granted after Entrance Examination,  verification of  the documents. Please pay the fees in due date. otherwise the admission will be rejected
 DATE   ________________________ Course ______________  
               Admission Head ______________________
 Govt fee Rcpt. No. ______ Amount ______. Non Govt. Fee Rcpt. No. ______ Amount ______
Fee Clerk ___________
Note:  if your application will selected in merit list then you eligible to admission with college fee Payment.  
MAIN PAGE   REGISTRATION PAGE