Enter Data Items to show Enrolment Details
Enter Application No. ENTER ADHAR NO ADMIN PSW
www.rgpgcapur.in
Online Enrolment Registration Form- JUL -2023  
To,  
         The Principal  
         Rajeev Gandhi Govt P. G College Ambikapur, Surguja, Chhattisgarh
 
     
ENROLMENT NO:
 A. Application Details
1 Application Status
2 Application No
3 Registration Date : /STST
4 Course Type
5 Course Name/Course Code /    
6 Semester/Sem Code /
 B. Student Details
7  Student Name  
8 Name in Hindi  
9 Aadhar No  
10  Father/Husband Name  
11  Mother's Name  
12  Select Occupation  
13  Select Married Status  
14  Enter Current Address  
15  Enter Parmanant Address  
16  Enter Mobile No  
17  Enter Email Address  
18  Faimly Annual Income  
19  Domicile Status  
20  No of years in Chhattisgarh  
21  Enter Date of Birth   
22  Enter Your Age  
23   Select Gender  
24  Enter Caste  
25  Select Category  
26  Select Religious  
27  Select Blood Group  
28  Differently_Abled_if_yes_give_details) /  
29  Enter  Hobby  
30  NCC/NSS/Sports Status
C. Eligibility Course :
31   Pass Year  
32   Course  
33   University or Board  
34   College or School Name  
35   Total Agr. Marks  
36   Obtain Agr. Mark  
37   Result  
38   Percentage  
D. Selected Subjects
01   DSC GROUP-1
02   DSC GROUP-2
0рей   DSC GROUP-3
04   DSC GROUP-4
05   DSC GROUP-5
06   VAC
07   SEC
08   GEC
09   AEC
     
E: Registration Fee Details
39 Pay Amount  
40  Registration Fee Pay Details
F: Enter Admission Fee Details    
Fee Amount  
  Payment Date  
  Transection No/Rcpt. No  
     
 
 
  Date ________________________   Student Signature
  Place:________________________  
       
G. Official Work
    DEPARMENTAL REMARK  
       
  Authorized Signature _______________________________________________________  
  Datre: _____________________   STAMP
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