Online Examination

Name of the College

College Code

Regular/Backlog
R-RegularB-Backlog

Eligibility Number / PNR Number

Full Name (in Capital Letters as shown in statement of Marks of qualifying Examination)

Mother Name

Mobile No

Email

Complete Postal Address of the Candidate

Pin Code

Physically Handicapped
---- Select ----YesNo

Blind
---- Select ----MaleFemale

Caste
SCSTNT1NT2NT3VJOBCSBCOther

Gender
---- Select ----MaleFemale

Details of Previous Examination

Name of Exam

Seat Number

Month & Year

College

University/Board

Result

Appearing Subject(S) / Paper(S)

Semester I,III,V

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Subject(s)/Paper Title(s)

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Subject(s)/Paper Title(s)

Code

Semester II,IV,V

Subject(s)/Paper Title(s)

Code

Subject(s)/Paper Title(s)

Code

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Subject(s)/Paper Title(s)

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