Vindhyakanya PG College

1. Basic Info

2. Educational Info

3. Documents

Personal Details

First Name *

Last Name *

Father Name

Father Occupation

Mother Name

Mother Occupation

Regd. Mobile No. *

Alternate Mobile Number

WhatsApp Number

Regd. Email *

Alternative Email

Gender *

Date Of Birth *

Age as on Calculated automatically based on Date of Birth

Religion

Caste

Mother Tongue

Nationality

Marital Status

Blood Group

Samarth Portal Registration No

Person with benchmark disability (PwBD) category

Specify disability category

Languages Known

Reading

Writing

Speaking

Corresponding (Present) Address

State / Province

District / City

Tahasil

PIN Code

Address

Permanent Address

Same as Present

State / Province

District / City

Tahasil

PIN Code

Address

Academic Information

Academic Level *

Program / Stream *

Semester *

Section *

Admission Date *

Status Type Default: New Admission

Last Educational Details

Name of the Last Educational Institution

Name and Year of the Last Examination Passed

Subject

Details of Extracurricular Activities

Qualification details (UNDER GRADUATION)

Examination Passed	University / Board	Year	Roll No.	Class / Subject	Marks Obtained / Total		Percentage
High School or Equivalent
Intermediate or Equivalent

Qualification details (POST GRADUATION)

Examination Passed	University / Board	Year	Roll No.	Class / Subject	Marks Obtained / Total		Percentage
High School or Equivalent
Intermediate or Equivalent
B.A. / B.Sc. / B.Com. (Graduation)

Qualification details (B.Ed. / D.El.Ed)

B.Ed / D.El.Ed

Examination Passed	University / Board	Year	Roll No.	Subjects	Marks Obtained / Total		Percentage
High School / Equivalent
Intermediate / Equivalent
Graduation
Post-Graduation

JEE B.Ed. Counselling Details

B.Ed

(A) Roll No.

(B) Allotted Stream:

Arts

Science

Commerce

General

Backward Class (OBC)

Scheduled Caste (SC)

Scheduled Tribe (ST)

(D) Fee Challan No.

(E) Fee Deposit Date

Occupation

Annual Income

Subject Selection

Select your subjects based on academic level and semester requirements.

Select Subject for Major-1

Select Subject for Major-2

Select Subject for Minor

Select Subject for Skill Development

Select Subject for Co-Curricular

Upload Documents

Photo: Best Resolution Height- 300 PX, Width- 300 PX

Signature: Best Resolution Height- 100 PX, Width- 300 PX

Social Category

Certificate Number

Certificate Issuing Date

Sub Category

Sub-category Details

SC Category Certificate

OBC Category Certificate

ID Proof Type

Specify ID Proof Type

ID Number

ID Proof Document

Upload Transfer / Leaving Certificate

Class XII (Scan Marksheet & Upload)

Graduation Certificate

Additional Documents