Centre for Post Graduate Studies and Distance Education

Distance Education Application

Step 1 : Make Payment(Using NIRD&PR SBI Collect)
Step 2 : Fill Application
Step 3 : Print Application

Application Form

Select Course*

Applicant Name (As per SSC Certificate)*

Applicant Father Name*

Applicant Mother Name*

Aadhar Number*

Permanent Address*

Permanent Address (Full)*

Permanent Address Pincode*

Mobile Number*

Address for Correspondence *

Correspondence Address*

Correspondence Address Pincode*

Alternate Mobile Number*

Select Domicile State*

Email Address*

Alternate Email Address*

Date of Birth(dd/mm/yyyy)*

Identification mark*

Gender*

Male

Female

Transgender

Are you physically challenged?*

Community*

Application Fee*

Nationality*

Country name*

Do you have sponsorship?*

Update SBI Collect Payment Details

SBI Reference Number*

Fee Paid in SBI Collect*

Date of Payment(dd/mm/yyyy)*

Upload SBI Pay Receipt (Size should be between 5kb and 500kb*)

Particulars of Academic Record

10th class/High School*

Board/College/University Name*

Month*

Year of Passing*

Subjects studied and passed*

Maximum Marks*

Marks obtained*

Percentage*

Division*

Upload the certificate (.pdf format only - Size should be between 5kb and 500kb*)*

Graduation Passed*

Board/College/University Name*

Passing Month*

Year of Passing*

Subjects studied and passed in graduation*

Maximum Marks of Graduation*

Marks obtained in graduation*

Percentage of marks in graduation*

Division in graduation*

Upload graduation marksheet (.pdf format only - Size should be between 5kb and 500kb)*

Upload graduation certificate (.pdf format only - Size should be between 5kb and 500kb)*

Upload photo(Size should be between 5kb and 100kb)*

Upload signature(Size should be between 5kb and 100kb)*

Upload the community/EWS category certificate from competent authority(Size should be between 5kb and 500kb)

Upload PWD certificate from competent authority (Size should be between 5kb and 500kb)

I hereby declare that all the information furnished by me in this application and in the documents I have submitted in support of my application are true, complete and correct to the best of my knowledge and belief.

Place*

Date of Submission*