Mata Gujri Mahila Mahavidyalaya

(Autonomous), Jabalpur, M.P.

Reaccredited with "A+" by NAAC (CGPA 3.51/4)

STUDENT REGISTRATION

COURSE DETAILS

Note: Fields marked with * are mandatory

Class*
Year/Sem*
Group*
Vocational Subjects*

PERSONAL DETAILS

Name*
Father/Husband Name*
Gender *
Mother Name*
Date of Birth*
Birth Place*
Blood Group*
Marital Status
Category*
Do You Want Hostel Facility*
Specially Challenged
Minority Status*
Permanent Address*
Country*
State*
District*
City*
Pincode*
Parent Phone No
Email
Not valid email!
Father/Husband Profession
Total Annual Income
Student Phone No*
Local Guardian's
Local Guardian's Phone No
Local Guardian's Address
Higher Education ID
Aadhaar No
SamagraID

ACADEMIC DETAILS

If result is not declared please enter "000" in Obtained Marks and Total Marks

Class Exam Passed Passing Year Exam Type Marks Obtained Total Marks % Result Roll No Board/University School/College Name
{{stu.Class}}
{{stu.ExamPassed}}
 {{(stu.MarksObtained / stu.TotalMarks)*100 | number:2}}0.00
Subject Group (Previous Exam Passed)
Additional Subject Group (if any)
University Enr/Reg No (if applicable)
Medium*
Any Scholarship
Extra Curricular Activity
Migration
Remark

Certificates Upload

Note: Each Photo Size Upto 125KB

10th Certificate
12th Certificate
UG Certificate
Gap Certificate
Aadhar Card
Caste Certificate
Domicile Certificate
Income Certificate
Student Photo*
Signature


Are you vaccinated ?*
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Declaration

1. I hereby declare that above mentioned information is correct to the best of my knowledge and belief.

2. I will duly abide with the rules and regulations of the college.

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Mata Gujri Mahila Mahavidyalaya, Jabalpur(Autonomous)

Reaccredited "A+" by NAAC (CGPA 3.51/4)

Student Registration Form

Date :{{Date}}

Registration No :{{RegistrationNumber}}

Session :2021-2022
COURSE DETAILS

Class : {{classname.split("-")[0]}}

Year/Sem : {{classname.split("-")[1]}}

Branch : {{classname}}

Vocational Subject : {{OptionalSubject | titleCase}}

Compulsory Subjects : {{Subjects}}
PERSONAL DETAILS

Name

: {{Student.Firstname}}

Father/Husband Name

: {{Student.Father_Firstname}}

Mother Name

: {{Student.Mother_Firstname}}

Date of Birth

: {{Student.DOB | date:'dd-MMM-yyyy'}}

Birth Place

: {{StudentExtra.BirthPlace}}

Blood Group

: {{BloodGroupName}}

Marital Status

: {{MaritalStatusName | titleCase}}

Category

: {{CasteName}}

Specially Challenged

: {{StudentExtra.SpeciallyChallenged}}

Minority Status

: {{StudentExtra.MinorityStatus}}

Permenent Address

: {{Student.Corr_Address_Line1}}

State

: {{StateName}}

District

: {{DistrictName}}

Pincde

: {{StudentExtra.Pincode}}

Parent Phone No

: {{StudentExtra.PermMobile}}

Mail

: {{Student.EmailID}}

Father/Husband Profession

: {{StudentExtra.FatherHusbandProfession}}

Total Annual Income

: {{StudentExtra.AnnualIncome}}

Local Guardian's

: {{StudentExtra.GuardianFirstName}}

Guardian's Address

: {{StudentExtra.LocalGuardiansAddress}}

Guardian's Phone No

: {{StudentExtra.LocalGuardiansPhone}}

Student Phone No

: {{Student.Corr_Mobile}}

Hostel

: {{ StudentExtra.StudentType_LU_ID=="25" ? "Yes" : "No" }}

Aadhaar No

: {{StudentExtra.SUIDAI}}

Samagra ID

: {{StudentExtra.SamagraId}}
ACADEMIC DETAILS
Exam passed Year Exam Type Marks Obtained Total Marks % Result Roll No Name Of Board/University School/College Name
{{stu.ExamPassed}} {{stu.PassingYear}} {{stu.ExamType}} {{stu.MarksObtained}} {{stu.TotalMarks}} {{(stu.MarksObtained / stu.TotalMarks)*100 | number:2}} {{stu.Result}} {{stu.RollNo}} {{stu.BoardUniversity}} {{stu.SchoolCollegeName}}

Group

: {{StudentExtra.SubjectGroup}}

Additional Subject Group

 : {{StudentExtra.AdditionalSubjectGroup}}

University Enr/Reg No

: {{StudentExtra.UniversityEnqRegNo}}

Medium

: {{MediumName}}

Any Schollorship

: {{StudentExtra.AnyScholarship}}

Extra Curricular Activities

: {{StudentExtra.ExtraCurricularActivity}}
Declaration
1. I hereby declare that above mentioned information is correct to the best of my knowledge and belief.
2. I will duly abide with the rules and regulations of the college.

Parent Signature Student Signature