Application for Eligibility Certificate
अहर्ता प्रमाण पत्र प्राप्त करने हेतु आवेदन पत्र
Personal Detail
All fields are mandatory(*)
नाम (Name)
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पिता का नाम (Father Name)
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माता का नाम (Mother Name)
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जन्मतिथि (Date of Birth)
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उम्र (साल,महीने ,दिन)
एडमिशन एप्लीकेशन नंबर
श्रेणी (Category)
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--Select Cast--
OBC
GEN
SC
ST
फोन/ मोबाइल नंबर (Mobile)
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वर्तमान पता जहां प्रव्रजन प्रमाण पत्र प्राप्त करना चाहते हैं
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House No/Village
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Colony/Post
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City/Tehsil
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State
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-- Select --
ANDAMAN & NICOBAR
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DAMAN & DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ORISSA
PONDICHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARANCHAL
WEST BENGAL
District
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Pincode
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Previous Qualification Detail
परीक्षा का नाम जो उत्तीर्ण की
*
संकाय
*
अंतिम परीक्षा का वर्ष
--Select Year--
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
उत्तीर्ण परीक्षा पास /फेल
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--Select--
PASS
FAIL
SUPP
ATKT
उत्तीर्ण परीक्षा प्राप्तांक(%)
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अनुक्रमांक (Roll Number)
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नामांकन/पंजीयन क्रमांक (Enrollment Number)
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University / Board
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--Select--
UNIVERSITY IN SIDE MP
UNIVERSITY OUT SIDE MP
Migration No.(If Applicable)
University / Board Name
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सूचनाः-मैं शपथ पूर्वक घोषणा करता/करती हूँ कि मैं इस वर्ष विश्वविद्यालय की किसी परीक्षा मे सम्मिलित नही हो रहा / रही हूँ और न मैं इस विश्वविद्यालय की पिछली किसी परीक्षा मे अनुचित साधन प्रयोग करने के कारण दोषी पाया गया/गयी हूँ
For Eligibility (अहर्ता प्रमाण पत्र महाविद्यालय की किस परीक्षा के लिये चाहिए उसका विवरण)
महाविद्यालय/परीक्षा केंद्र का नाम
*
-- Select --
ACHARYA SHRIRAM D.ED B.ED COLLEGE, BAMANGAON(501)
BHAGWAN BIRSA MUNDA GOVT. COLLEGE, PATI(206)
BRIJMOHAN MISHRA INSTITUTE OF MEDICAL & TECHNICAL SCIENCES, BURHANPUR(316)
CAMPUS OF BEST MORAL COLLEGE, BEDIA(502)
CHARAK INSTITUTE OF EDUCATION, MANDLESWAR(503)
CHHATRAPATI SHIVAJI MAHARAJ GOVERNMENT COLLEGE, BURHANPUR(302)
DEVI RUKMANI COLLEGE, KHARGONE(504)
DR. JAKIR HUSSAIN ACADEMY, BURHANPUR(303)
DR. JAKIR HUSSAIN COLLEGE OF EDUCATION, BURHANPUR(304)
GOVT. COLLEGE JHIRNIYA(505)
GOVT. COLLEGE OF TEACHER EDUCATION, KHANDWA(406)
GOVT. COLLEGE, BHAGWANPURA(506)
GOVT. COLLEGE, CHANDRASEKHAR AZAD NAGAR (BHABRA)(101)
GOVT. COLLEGE, DULKOT(305)
GOVT. COLLEGE, GUDI(403)
GOVT. COLLEGE, HARSUD(401)
GOVT. COLLEGE, KASRAWAD(508)
GOVT. COLLEGE, KHALWA(404)
GOVT. COLLEGE, MANDLESHWAR(509)
GOVT. COLLEGE, SANAWAD(510)
GOVT. GIRLS COLLEGE, BARWANI(208)
GOVT. GIRLS COLLEGE, KHARGONE(511)
GOVT. LAW COLLEGE, BARWANI(209)
GOVT. LAW COLLEGE, KHARGONE(512)
GOVT. MODEL COLLEGE, BARWANI(201)
GOVT. P.G. COLLEGE, KHARGONE(513)
GOVT. PG COLLEGE, JOBAT(102)
HAJRA MEMORIAL COLLEGE MALHARGARH, KHALWA(407)
JAI BIRSAMUNDA MAHAVIDHYALAY, KATTHIWADA, ALIRAJPUR(105)
JAN NAYAK TANTYA MAMA GOVT. COLLEGE, BHIKANGAON(507)
JAWAHARLAL NEHRU GOVERNMENT DEGREE COLLEGE, BARWAHA(514)
KRANTIKARI SHAHID CHHITUSINGH KIRAD GOVT. P.G. COLLEGE, ALIRAJPUR(104)
MAA NARMADA SHASKIYA MAHAVIDYALAYA, SONDWA(103)
MADHUBAN COLLEGE OF EDUCATION, BARWANI(212)
MADHUBAN COLLEGE OF MANAGEMENT, BARWANI(213)
MAKHANLAL CHATURVEDI GOVERNMENT GIRLS PG COLLEGE, KHANDWA(408)
MILLENNIUM B.ED. COLLEGE BURHANPUR(307)
MOTILAL NEHRU LAW COLLEGE,KHANDWA(409)
PADMASHRI LATE KANTA BAHAN TYAGI GOVT. COLLEGE, NIWALI(204)
PANDIT JAWAHARLAL NEHRU GOVERNMENT COLLEGE NEPANAGER(308)
POONAMCHAND GUPTA VOCATIONAL COLLEGE, KHANDWA(410)
RAVINDRA NATH TAGORE INSTITUTE OF SCIENCE AND PROFESSIONAL STUDIES, MORGHADI(412)
RENUKA INSTITUTE OF MANAGEMENT, SENDHWA(211)
REWA GURJAR INSTITUTE OF MANAGEMENT STUDIES, SANAWAD(515)
RUKMANI ACADEMY, BARWANI(214)
SAHEED BHIMA NAYAK GOVT. P.G. COLLEGE, BARWANI(215)
SAIFEE GOLDEN JUBILEE QUADERIA COLLEGE, BURHANPUR(309)
SANT SHRI SINGAJI GOVT. COLLEGE, RAJPUR(207)
SANT SINGAJI GOVT. COLLEGE, MUNDI(405)
SARDAR VALLABH BHAI PATEL COLLEGE, MANDLESHWAR(516)
SARDAR VALLABH BHAI PATEL SHIKSHA COLLEGE, SENDHWA(216)
SENDHWA INSTITUTE OF PROFESSIONAL STUDIES, SENDHWA(217)
SEVA SADAN LAW COLLEGE, BURHANPUR(311)
SEVA SADAN MAHAVIDYALAYA, BURHANPUR(310)
SEVA SADAN PRABANDHAN MAHAVIDYALAYA, BURHANPUR(313)
SEVA SADAN SHIKSHA MAHAVIDYALAYA, BURHANPUR(312)
SHAHEED TANTYA MAMA GOVERNMENT COLLEGE PANDHANA(402)
SHREE JEE DEGREE COLLEGE, KHARGONE(517)
SHRI ATAL BIHARI VAJPAYEE GOVT. COLLEGE, PANSEMAL(205)
SHRI DADAJI INSTITUTE OF TECHNOLOGY AND SCIENCE, KHANDWA(414)
SHRI HUKUMCHAND YADAV GOVT. NEW MODEL DEGREE COLLEGE, KHANDWA(413)
SHRI KANWARTARA INSTITUTE FOR TEACHERS TRAINING, MANDLESHWAR(518)
SHRI KANWARTARA SCIENCE & COMMERCE COLLEGE, MANDLESHWAR(519)
SHRI NEELKANTHESHWAR GOVERNMENT POST GRADUATE COLLEGE, KHANDWA(415)
SHRI RAVINDRA NATH TAGORE INSTITUTE OF PROFESSIONAL STUDIES, MORGHADI(411)
SHRI REWA GURJAR BAL NIKETAN COLLEGE, SANAWAD(520)
SHRI UMIYA GIRLS COLLEGE, MANDLESHWAR(521)
SRI PARASHURAM INSTITUTE OF TECHNOLOGY AND RESEARCH, KHANDWA(416)
ST. PAUL COLLEGE OF EDUCATION, KHANDWA(417)
SUBHASH YADAV MEMORIAL DEGREE COLLEGE, BORAWAN(522)
SWA. GULABBAI YADAV SMRITI SHIKSHA MAHAVIDHYALAYA, BORAWAN(523)
SWAMI AMURTANAND GOVT. COLLEGE, ANJAD(203)
SWAMI VIVEKANAND SHIKSHA MAHAVIDYALAY, SENDHWA(218)
THAKUR SHIVKUMARSINGH MEMORIAL MANAGEMENT COLLEGE, BURHANPUR(314)
UMIYA KANYA SHIKSHA MAHAVIDYALYA MANDLESHWAR(524)
UTD KRANTISURYA TANTYA BHIL VISHWAVIDYALAYA, KHARGONE(801)
VEER BALIDANI KHAJYA NAYAK GOVT. P.G. COLLEGE, SENDHWA(210)
VEER BALIDANI TANTYA MAMA GOVT. COLLEGE BALWADI(202)
VEER RENGU KORKU GOVERNMENT COLLEGE, KHAKNAR(306)
VIVEKANAND MAHAVIDYALAYA, BURHANPUR(315)
YOGESHWAR SHIKSHA MAHAVIDYALAYA, BARWANI(219)
Course Name
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Branch Name
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Admission Reqired as
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Session
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-- Select --
APR-2025
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PREVIOUS EXAM MARKSHEET
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मैं प्रमाणित करता हूं कि मेरे द्वारा आवेदन पत्र में दी गई उपरोक्त जानकारी सही है।