Atal Bihari Vajpayee Nagar Nigam Degree College

Admission Form

Lucknow University Registration No.*

Name*

Date Of Birth*

Gender
Male Female

Email Address*

Mobile No.*

Whatsapp No.*

Religion*

Nationality*

State (Domicile)*

Aadhar Card No.*

Aadhar Name*

Category*

Father's Name*

Father's Occupation*

Mother's Name*

Mother's Occupation*

Guardian*

Address*

Pin Code*

Police Station*

Tahseel*

Session*

Course applied for*

Semester*

Examination	Year	Board	Subject	Mark Obtained	Percentage (%)
Class X	Enter Passing year	Enter Board Name	Enter Subject Name	Enter mark	Enter Percentage
Class XII	Enter Passing year	Enter Board name	Enter subject	Enter marks	Enter Percentage

Enclosure : Check List (Tick (✔) Whichever is applicable)	Upload
1.High School Marksheet & Certificate	Upload
2.Intermediate (+2) Marksheet & Certificate	Upload
2.Caste Certificate	Upload
3.Transfer Certificate (Original)
4.Character Certificate (Original)
5.Migration Certificate (Original) if passes from CBSE/ISCE/NIOS
6.Permanent Residence Proof

Declaration by the Candidate

I hereby declare that all the information given above is true and complete to the best of my knowledge and belief, and nothing has been concealed or distorted. further, I agree to abide by the rules and regulations. If at any time, I am found to have concealed or distorted any information and in case of misconduct, my admission shall stand canceled and I shall be liable to such disciplinary action as may be decided by the college.

Upload Photo

Upload Signature

Submit