Application Form for Admission in University Teaching Department
Session : 2018-19

Department and Course
Department* Course*
Applicant's General Details
First Name * Last Name *
Father's/Husband Name* Father's/Husband Occupation*
Mother's Name* Mother's Occupation*
Guardian Name* Guardian Address*
Date of Birth*   (dd/mm/yyyy) Place of Birth*
Email Mobile*
Category* Gender*
Nationality*
Whether domicile of Madhya Pradesh*
Medium*   Sub Category  Minority Handicapped JK Migrants JK Residents
Freedom Fighter
Phone
   
Permanent Address
Address*
State*
Copy To Correspondence Address
Correspondence Address
Address
State
Particulars of the qualifying examination
Exam Passed* University/Board*
Passing Year* Percentage*  . %
Academic qualification (From High School/Higher Secondary Onwards)
Graduation/PG/LLB का Result Awaited होने पर पूर्व के सभी Semester/year का Aggregate enter करे.  
Class Roll No Year Obtain Marks/ CGPA Total Marks/ CGPA Subjects % Board/ University College/School Name Marksheet No If Result Awaited
10th*
10+2/
Polytechnic Diploma
Graduation
PG
LLB
Other
Is there any gap between studies 
Other Details
Whether applied for admission to any other course of this university:*
Whether the applicant is in service:*
Whether the applicant's parents are working in this university:*
Extra Curricular Activities and Other Certificates (If any)
 
Other Certificates
240 hrs participation in NSS activities at University level or B/C Certificate NCC "C" Certificate Cultural activities at Inter-University level/National level Sports activities at Inter-University level/National level
Enclosures (To be submit in Hard copy in the department)*
Proof for DOB Marksheet Migration certificate Gap Certificate Caste Certificate Sub Category Certificate
Required Eligibility Document  
Upload Photo with Signature*
Declaration*
I declare that the information given above is correct. I have read the admission rules prescribed by the University and shall abide by them and by all the other rules of the University. Further, I am not pursuing any course from BARKATULLAH University or any other University, either regularly or part time or through Distance mode, fetching me any degree. If I do not submit the required caste certificate/ other certificate/ relaxation at the time of admission for getting weightage and if I do not provide the correct information in required column then I will have no objection if I am considered as a general candidate for admission.
सूचना: ऑनलाइन फॉर्म भरने एवं शुल्क भुगतान करने की सुविधा सीधे छात्रों को उपलब्ध कराई गई है। अतः छात्र स्वयं फॉर्म भरें एवं शुल्क का भुगतान करें। किसी अन्य व्यक्ति या इंटरनेट कैफे से किये गए भुगतान हेतु छात्र स्वयं जिम्मेदार होंगे।