University Eligibility Form
Academic Year: 2020-21
Course *
Last Name (Surname) *
First Name *
Middle Name *
Mother Name *
Birth Date *
MM
/
DD
/
YYYY
Gender *
Category *
Non-creamy layer certificate attached? *
HSC exam's Board *
HSC Exam Seat No. *
Passing Month & Year *
Is Maharashtrian? *
Address *
Is Physical Handicapped ? *
Is Minority ? If yes specify type, else say No *
Minority Details *
Roll No/ General Register Number *
Gap details (Only If Applicable) *
Last exam's Board / University Name in full *
Last Exam Name *
Last Exam Percentage/Result *
Last Exam Passing Year *
Aadhar No. *
Mobile No. *
Email Id *
Pancard No. *
Religion *
Bank Name *
Bank IFSC Code *
Bank Account Number *
Submit
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