Enrollmet Form – Airdivit Udan Academy

Select Programme *

Personal Details

First Name* (As per High School certificate) *

Last Name *

Name In Hindi *

Date Of Birth

Gender *

Domicile *

Father's Name *

Mother's Name *

Marital Status *

Referred By *

Category *

Blood Group *

Nationality *

Religion *

Address

Correspondence

House No/Village *

Colony/Post *

City/Tehsil *

State *

District *

Pin Code *

Is your Correspondence Address and Permanent Address Same ? *YesNo

Permanent

Address

House No/Village *

Colony/Post *

City/Tehsil *

State *

District *

Pin Code *

Other Details

Mobile Number *

Email Id *

Are you physically disabled? PWD/ FF/ Sports (National/State) *

MGCGV Employee *

Are you already/earlier enrolled with MGCGV?

Academic Bank of Credit Id (ABC Id)

Previous Educational Qualifications:

Matriculation(10th)/Schooling

Name of Institute/Board *

Session/Passing Year *

Percentage *

Higher Secondary/Intermediate(10+2)*

Name of Institute/Board *

Session/Passing Year *

Percentage *

Are you qualified in any entrance examination? *YesNo

Field Group

Select Entrance Exam *

Entrance Obtained Score *