Sri Mahavir Prasad Mahila Mahavidyalaya lucknow

Admission Form

Fill In the Application Form In Capital Letters

This application form is to be filled in applicants own hand neatly and legibly.

Only self attaested copies of testimonials and other documents be submitted as that will not be returned.

Original certificates and Mark sheets to be deposited, if selected.

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Please Tick
Name
Mother Name
Father's Name
DD/MM/YYYY
Ph. Handicaped
N.C.C. "B" Certificate
Freedom Fitter
Academic Achievements
Please select your qualifications.
High School(Name of Board/University | Name of Institution | Year | Subject | Marks Obtained | %of Marks | Division)
Intermediate(Name of Board/University | Name of Institution | Year | Subject | Marks Obtained | %of Marks | Division)
Graduation(Name of Board/University | Name of Institution | Year | Subject | Marks Obtained | %of Marks | Division)
Post Grad(Name of Board/University | Name of Institution | Year | Subject | Marks Obtained | %of Marks | Division)
Any Other Qualification(Name of Board/University | Name of Institution | Year | Subject | Marks Obtained | %of Marks | Division)
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Note: Signature width must be less than 300PX and Signature height must be less than 300px. File type should be either jpeg, png or gif

Note

Bank Account Detail

Name Of The College Shri Mahavir Prasad Mahila Mahavidyalaya. Surya Nagar, Rajajipuram, Lucknow
Name Of The Bank Bank Of Baroada
Account Number:  77370100001236
IFSC Code BARB0VJPATE
Branch Name Patel Nagar, Lucknow
Contact Number

8957464559, 7505897159

Email ID smpmmlucknow@gmail.com