UG Private Registration 2024

Columns with the * symbol are mandatory . Do not use Special Characters While Filling

Personal Details

Name of the candidate in English * (As entered in 10th Certificate,Use Space to Separate Initials)
Sex*		Male Female Transgender
Deaf And Dumb (40% or more)		Yes No
Date of Birth*
Email*
Mother Tongue*

Place of birth with State , District & Taluk
State*
District*
District*
Place of Birth*
Taluk*

(a) Name & Occupation of father or guardian
Name*
Occupation
(b) Name & Occupation of Mother
Name*
Occupation
Permanent Address in full (Please Hit Enter key after entering Home name,Place,Post Office,District)
Address*

Pincode*

Address to which communications are to be sent (Please Hit Enter key after entering Home name,Place,Post Office,District)		same as above
Address*

Pincode*
Contact No
Mobile*
Alternate mobile*

Upload Photo

Select Photo*
(Dimension : 150W X 200 H (in Pixels),
File size 15 KB - 50 KB,
The image format allowed only JPG or JPEG )

Course Details

Select Course *

Centre of Examination *

Second Language/Common Course(for BA/BCom) *

Open Course (for BA/BCom)

Religion & Caste

Whether belongs to SC/ST/OBC/OEC.. (specify the details and attach certificates, if any kind of concession is required)
Religion*
Caste*
Category*

Course Discontinuation Details (if any)

Whether any Course Discontinued after Admission

Yes No

Examination Details

Details Regarding the Qualifying Examination Passed

Name of the University/Board*

Month & Year*

Name of Language & Subjects

Language

Subjects

Education Details

The School/College and the University in which the candidate last studied

School/College Name*

Course Name*

University*

Whether the candidate has been matriculated (in MG University) for the last studying course

Yes No

Migration Certificate Details
Number
Date
University

Number and date of the Private Registration Memo already issued, if any

Number

Date

Payment Details

Private Registration fee/Matriculation fee/Affiliation fee

Mode of Payment*	SBT Friends Janasevana Kendra MGU Cash Counter
of SBT*
Friends Janasevana Kendra *
Pay-in-Slip No*
Date *
for Rs*

Recognition fee (If Applicable)

Mode of Payment*	SBT Friends Janasevana Kendra MGU Cash Counter
of SBT*
Friends Janasevana Kendra*
Pay-in-Slip No*
Date*
for Rs*

Examination fee

Mode of Payment*	SBT Friends Janasevana Kendra MGU Cash Counter
of SBT*
Friends Janasevana Kendra*
Pay-in-Slip No*
Date*
for Rs*

Document Details

Details of Documents Enclosed

1. Pass certificate/ Provisional Certificate + Mark list	2. Transfer Certificate/Migration Cum Transfer Certificate

3. Eligibility Certificate	4. Migration Certificate

5. One Self Attested Copy of Xth Certificate	6. A4 Size Self addressed cover stamped Rs.52/-

Security Image

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