PATNA UNIVERSITY
पटना विश्वविद्यालय
PATNA UNIVERSITY
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First Name:
Middle Name:
Last Name:
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Note- :
Select course/courses carefully as there will be no opportunity for change.
Course Applying For:
Select Intermediate (10+2) Passing Stream:
Select Stream
Intermediate/+2 ARTS with Mathematics
Intermediate/+2 ARTS without Mathematics
Intermediate/+2 COMMERCE
Intermediate/+2 COMMERCE with (Mathematics or Statistics)
Intermediate/+2 PCB (Physics, Chemistry & Biology)
Intermediate/+2 PCBM (Physics, Chemistry, Biology &Mathematics)
Intermediate/+2 PCM (Physics, Chemistry & Mathematics)
Nationality:
INDIAN
OTHER
Domicile State:
ANDAMAN NICOBAR
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHHATTISGARH
DADRA NAGAR HAVELI
DAMAN DIU
DELHI
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
LADAKH
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TELANGANA
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
DOB(Date Of Birth):