Centre for Post Graduate Studies and Distance Education

Select Course*

Applicant Name*

Applicant Father Name*

Applicant Mother Name*

Father/Mother's Mobile Number*

Permanent Address*

Permanent Address Pincode*

Permanent Address Mobile Number*

Permanent Address Landline Number

Is permanent address and correspondence address same?

Correspondence Address*

Correspondence Address Pincode*

Correspondence Mobile Number*

Email Address*

Date of Birth*

Age*

Place of birth*

Mother Tougue*

Select Religion*

AADHAR No.*

Blood Group

Select Domicile State*

Note : North- east students should attach copy of the Permanent Resident Certificate (PRC)

Identification mark*

Gender*

Male

Female

Other

Are you physically challenged?*

Yes

Select Category*

Application Fee*

Sub Caste Name

Community*

Community Code

Note : If the Caste Certificate is found to be administratively unacceptable, then, the candidate will be treated as Open Category candidate.

Select Nationality*

Are you In-service candidate?*

Yes

Do you have any sponsorship?*

Yes

Father's Occupation

Father's Annual Income

Name of the Institution Last Studied *

Application Fee Details

*SBI Reference Number

*Fee Paid in SBI Collect

Date of Payment*

Upload SBI Pay Receipt*

10th class/High School*

Specialization/Subjects*

Year of Passing*

Board Name*

Division*

Percentage*

Label Upload SSC Marks Sheet (.pdf format file with size between 2kb and 500kb only)*

Intermediate/Class XII*

Group Name*

Specialization/Subjects*

Year of Passing*

Board/College Name*

Division*

Percentage*

Upload Intermediate Marks Sheet & Certificate (.pdf format file with size between 2kb and 500kb only)*

Graduation Degree*

Group Name*

Specialization/Subjects*

Year of Passing*

College/University Name*

Division*

Marks obtained*

Maximum Marks*

Percentage*

Upload graduation Marks Sheet & Certificate (.pdf format file with size between 2kb and 500kb only)*

Post-Graduation

Group Name

Specialization/Subjects

Year of Passing

College/University Name

Division

Percentage

Upload PG Marks Sheet & Certificate (.pdf format only)

Any other Degree/Diploma

Group Name

Specialization/Subjects

Year of Passing

College/University Name

Division

Percentage

Upload certificate (.pdf format file with size between 2kb and 500kb only)

Upload photo* (jpg format file with size between 2kb and 500kb only)

Upload signature* (jpg format file with size between 2kb and 500kb only)

Upload TC and Conduct Certificate (.pdf format file with size between 2kb and 500kb only)

Upload Work experience Certificate for In-service candidates (.pdf format file with size between 2kb and 500kb only)

Upload Organisational sponsorship letter (.pdf format file with size between 2kb and 500kb only)

Upload the community category(SC/ST/OBC) / EWS certificate from competent authority (.pdf format file with size between 2kb and 500kb only)*

Upload PWD certificate from competent authority (.pdf format file with size between 2kb and 500kb only)*

Upload PRC certificate from competent authority (.pdf format file with size between 2kb and 500kb only)*

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

CPGS & DE - NIRD & PR

PGDRDM(One year diploma) / PGDM(RM)(Two year diploma) Application

Application Form

Permanent Address

Address for Correspondence

Application Fee Details

Academic background

SSC / Class X Details

Intermediate/Class XII Details

Graduation Degree Details

Post Graduation Degree Details

Any other Degree/Diploma Details