Mumtaz PG College Lucknow
Call us : (0522)2743405,+91-9044044074
Home
About
A Brief History
Facilities
Girls Hostel
Library
Games
Other Facilities
Academics
Management Committee
Teaching Staff
Science
Commerce
Arts
Administrative Staff
Downloads
Staff Details
Courses
Science
Commerce
Arts
Apply Online
Gallery
Contact Us
Online Admission Form
*
required field
**
mandatory for MA stream
Candidate Name :
*
Course Applied :
*
B.A.
B.SC (CPM)
B.SC (PCM)
B.SC (ZBC)
B.Com
M.A. (Hindi)
M.A.(Sociology)
Gender :
*
Male
Female
Girls Hostel facilities required. For female candidate only
Yes
No
Date of Birth :
*
(as per 10th Marksheet)
[ Eg: 01/Jan/1900 ]
Father's Name :
*
Father's Occupation :
*
Father's Phone No. :
*
E-mail :
*
Aadhaar No. :
*
What's App No. :
Educational Qualification
*
Examination
Passed
Name of the Board/University
Year
Max. Marks
Marks
Obtained
% of
Marks
Subjects
High School
*
Intermediate
*
Graduation
**
Postal Address :
*
Postal Pin Code :
*
Permanent Home Address :
Permanent Pin Code :
DECLARATION BY THE APPLICANT
*
I do hereby declare that the information furnished above is true to the best of my Knowledge.In case, any of the above information is found to be incorrect or false at any stage, my admission will automatically atand cancelled and shall be liable for penal action.
I also agree to abide by the rules and regulations pertaining to anti-ragging measures specified in the prospectus failing which disciplinary/ penal action may be taken against me.
Date & Place :
*
[ Eg: 01/Jan/1900 ]
Select Place
Agra
Ahmedabad
Ahmednagar
Aligarh
Allahabad
Azamgarh
Bahraich
Bangalore
Bhopal
Bhubaneswar
Bhuj
Chittoor
Coimbatore
Dehradun
Delhi
Lucknow
Ludhiana
Ujjain
Ulhasnagar
Unnao
Vadodara
Vallabh Vidhyanagar
Valsad
Vandavasi
Vapi
Varanasi
Vasai
Vellore
Wayanad
Note: Fee may be deposited in college office. Admissions are subject to the availability of seats.