Universal Institute

Online Application Form for Student Registration & Examination

Applicant's Personal Details:

Candidate Name*

Father's Name*

Mother's Name*

Gender* Male Female

Date of birth*

Apply for courses*

Contact Details:

Mobile Number*

Email/Gmail*

Address Details:

Address Line 1*

Address Line 2

City*

District

State*

Pin Code*

Educational / Qualification Details:

Qualification*

Roll Number*

Year of passing*

ID Proof:

ID Proof*

ID Proof No.*

Identification Details:

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Declaration:

* I, hereby declare that the particulars submitted by me in the registration form are true to the best of my knowledge and belief. I agree to abide by the rules and regulations of UNIVERSAL INSTITUTE and also to the decision of UNIVERSAL INSTITUTE regarding my admission for the examination. I have noted that, UNIVERSAL INSTITUTE has the right to withhold my result even after my appearing in the examination in addition to any other action as may be deemed fit in the event of any of the statements/particulars made above being found incorrect. I have noted that, I might be to appear in the examination at any other examination centre not specified under examination centre choice column (5). I further understand that, in the event of non-conduction /non-evaluation of my examination due to any reason whatsoever, I will not held UNIVERSAL INSTITUTE responsible for any damages.

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