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*

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*
Telephone No*
Email
Not valid email!
Father/Husband Profession*
Total Annual Income
Emergency 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}}

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}}

Category

: {{CasteName}}

Specially Challenged

: {{StudentExtra.SpeciallyChallenged}}

Minority Status

: {{StudentExtra.MinorityStatus}}

Permenent Address

: {{Student.Corr_Address_Line1}}

State

: {{StateName}}

District

: {{DistrictName}}

Pincde

: {{StudentExtra.Pincode}}

Telephone 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}}

Emergency 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