भारती विश्वविद्यालय, दुर्ग, छत्तीसगढ़

Bharti Vishwavidyalaya, Durg, Chhattisgarh

Online Regsitration Form

01. Name (As per 10th/12th Marksheet):


02. Father's/Husband's Name:

03.Mother's Name :

04. Gender: *

05. Category: *

06. Date of Birth: *

07. Last Exam Roll No.:

08. Address

09. Email ID(*):

10. Mobile No. (*):
कृपया अपना स्वयं का मोबाइल नंबर डालें।

11. Adhaar No.(optional):

12. Whatsapp No. * +91-:

13. Course (कोर्स का नाम ) :

14. Photo (JPEG/JPG Only, Not More Than 100kb): *

15. Sign (JPEG/JPG Only, Not More Than 100kb): *

16. PG Marksheet/Website Copy (JPEG/JPG Only, Not More Than 100kb):

17.Submission Date:(*)
18.Total Fees(In Rs.)*
आपके द्वारा भुगतान की गयी राशि लिखे (सर्विस चार्ज एवं बैंक चार्ज को छोड़कर )
S.N.ClassYearMarks Obt.Marks Out OfResult
1 10th
2 12th
3 UG
4 PG
5 M.Phil
I declare that entries made by me in this Application Form are true in all respectand in case any information is found to be false and incorrect, this shall entail automatic cancellation of my candidature besides rendering me liable to such action, as the university may deem proper