Gurjar Kanya Gurukul Mahavidyalya

Online Application Form

Class Last Year Class Class Roll No. Year If Student of this college(Enter University Roll No.)

Name Father's Name Mother's Name Occupation * Annual Income Rs. Date of Birth Home Address *   Phone Email Correspondence Address *   Do you belong to scheduled caste/Backward Class Sub Caste Do you belong to Rural/Urban Area Yes No Rural Urban BPL/BLIND Do you belong to Haryana Status Yes No Yes No Single Married Religion Blood Group Educational Qualification

ACADEMIC DEGREE(S) OBTAINED

Last Exam Passed Class Result Year & Month Board Univ.R.NO. % Marks Subject Taken Major(s) Major(s)

Compulsary Elective Name of the college/school last attended State if you were ever fined/punished for any type of misconduct/indescipline Will you come to college by bycycle/scooter Yes No Do you need Hostel Facility Yes No Document Attached

Payment Detail :

Mode of Payment	Attached receipt/copy
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