MODERN MAHAVIDHYALAYA

Online Registration

Student Registration Form

Personal Details

Full Name: PAN Number: Gender:

Student Reg.No: Date of Birth: Religion:

Aadhar Number: Category: Disability/Special Reservation:

Father Name: Mother Name:

Father Mobile: Mother Mobile:

Father Occupation: Mother Occupation:

Academics Qualifications

High School Board: High School/College Name: High School Passing Year: High School Roll No: High School Total Marks: High School Obtained Marks: High School Percentage:

Intermediate Board: Intermediate College Name: Intermediate Passing Year: Intermediate Roll No: Intermediate Total Marks: Intermediate Obtained Marks: Intermediate Percentage:

University Name: Regular/Distance: Graduation Passing Year: Graduation Roll No: Graduation Total Marks: Graduation Obtained Marks: Graduation Percentage:

Applied Course:

ONLINE REGISTRATION

Online Registration

Student Registration Form