:: Maa Pateswari University, Balrampur ::

Faculty & Subject Details
Faculty *
Main Subject *
Allied Subject *
Candidate Profile
Name of Candidate *	Note: Name as recorded in the Matriculation/Secondary Examination Certificate.
Father's Name (Don't Use Mr./Sri.) *	Note: Father's name as recorded in the Matriculation/Secondary Examination Certificate.
Mother's Name (Don't Use Smt./Sri.) *	Note: Mother's name as recorded in the Matriculation/Secondary Examination Certificate.
Gender *
Date Of Birth (Date format : YYYY-MM-DD) *
Category *
Sub-Category *
Religion *
Nationality *		Your Passport No.: *
Residential Domicile *
Permanent Address *
Correspondence Address * Copy same as Permanent Address
State *
District *
Pincode
Address Proof *
Aadhaar No. *
Mobile No. *
E-Mail *
Password
Confirm Password
I, hereby confirm that I have read all the INSTRUCTIONS & the ELIGIBILITY CRITERIA mentioned in the INFORMATION BULLETIN carefully before applying.
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