SWAMI VIVEKANAND MAHILA MAHA VIDYALAYA, LUCKNOW

(MINORITY EDUCATIONAL INSTITUTION) ASSOCIATED WITH LUCKNOW UNIVERSITY
(The application form should be filled correctly by the applicant himself. Name, father's name and date of birth should be filled as per the high school certificate. It is mandatory to make entries in the boxes given in the application form. Entries in all the boxes should be in capital letters of English language. Number and numerical entries are to be written in the same number system. Incomplete and incomplete application forms will not be considered. Applicants must match the entries filled online with their original records at the time of registration, because once the registration process is complete After that, no opportunity will be given for any kind of modification in the filled entries.)

Date :

HOME

Course *

1) Name of the candidate*

2.(A) Father's name *

2.(B) Mother's name *

3. Date of Birth (As per High School Certificate) *

4. (a) Permanent Address (with Police Station and Pin Code) *

4. (b) Full postal address (with police station and pin code) **

5. a) Telephone No. (with STD code)

5. (b) Mobile No. (10 digits) *

5. (c) E-mail ID *

6. Gender*

7. Reserved Category *

8. (a) Disabled?

8.(b) Special Reservation Category

9. Subject Category*

10. Details of Educational Qualification of the candidate :- *

Examination	Board / University Name	School / College Name	Year of Passing (YYYY)	Enrollemnt No	Serial number of marksheet	Max Marks	Marks Obt.	%
High School
Intermediate
Graduation

Note:- Applicants who do not have a serial number in their mark sheet, that applicant should write NA instead of the mark sheet number in the online registration form.

11.(a) Type of Photo Identity Card *

11.(b) Photo ID Card Number *

Note : Before proceeding to upload the photo, please carefully check the below entries. If details are correct then proceed to upload your photo.

Upload Your Photo (Max Size : 20KB ; Type : JPEG / JPG)
(Browse To Select a Photo/ Select Your Photo )

Declaration: I certify that all the entries filled in the online registration are based on the records available with me and are correct and true to my knowledge. My photo uploaded in registration is clear, Clear and as per instructions. All the conditions given in the advertisement are acceptable to me. If any particulars mentioned in the online application form are found to be incorrect/false after scrutiny at any stage before or after the selection, then the responsibility will be mine and the concerned authority will have the right to cancel my candidature and take legal action against me. On the date of applying, all the mark sheets/certificates mentioned in the application form/certificate related to reservation and special reservation are available with me. My online application will be considered for training on depositing the prescribed fee by the due date. I have compared my photograph and the details filled by me (displayed below) with the original records and found correct.

Note: - I have taken a print out of the registration done under the online application and have matched the entries made in it with the original records and found it correct and I completely agree to save my registration as final, after the final save I will not be given an opportunity to make any amendment in my application.