Registration Form :-  Starting Date:- 16/11/2019 ,  Ending Date:- 21/11/2019
Note: Your name, Aadhar no, Course, will not change or update please enter correct according to 10th mark Sheet

RAJIV GANDHI GOVT. POST GRADUATE COLLEGE AMBIKAPUR, C.G.
AUTONOMOUS COLLEGE AFFILIATED TO SURGUJA VISHWAVIDYALAYA, AMBIKAPUR
www.onlinesyst.com , www.rgpgcapur.nic.in

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Application No.(Auto Generate)
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Year
Month
   
Enter Your Name (10th Dased)

AADHAR(Pls. enter correct no.)
Enrolment No.(Only ForThird Semester)*
F_Name
M_Name
Occupation
Married
Current Address
Parmanant Address
Mobile No UPLOAD PHOTO UPTO 50KB
Email AND  (350*400) PX
Faimly Annual Income  
Domicile Status
No of  years in Chhattisgarh
Date of birth(10th) (DD/MM/YYYY)*
Age in Year (Status from 01/07/2018)*
Gender
Caste
Category
Religious
Blood Group
Differently Abled(if yes give details)
Hobby
Post Graduate Exam Details for Admision
 Eligibilty exam pass year  
Course
University
College
Total Marks (All Semesters/Year)
Obtain Mark (All Semesters/Year)
Result
Percentage
Other Activity
     Fill Only PG First Semester Student
NCC/NSS/Scout Guide or other 
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Sports/Litratures/Cultural Activity 
If yes then Select Status
If Sel. Course in Honours Subject
UFM Status
Are you accused in any illegal Activity
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"If your Application is not based on College terms and conditions then application will rejected"
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