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Rajiv Gandhi Proudyogiki Vishwavidyalya
Bhopal-462036
ENROLLMENT FORM
TO
The Registrar
Rajiv Gandhi Proudyogiki Vishwavidyalaya, Bhopal
Sir,
Giving the following details, I request you to please Enroll me in the Rajiv Gandhi Proudyogiki Vishwavidyalaya, Bhopal
and also communicate me the allotted Enrollment Number: I have read all the rules, regulations and ordinances of
the university relevant to me and promise to abide by them. I also promise to obey all the rules and regulations
enforced by the university in future.
Name OMKUMAR BANWANSHI Course 3.Pharm.(PCI)
Institute Code & Name 0106 VNS Group of Institutions
Branch [PY) B.Pharm.(PCI) Admission Date NA
Email ID abhi7049banwanshi@gmail.com Mobile No. 480441
NISHA
Father's Name RAKESH KUMAR BANWANSHI Mother's Name
BANWANSHI
Gender Male Date of Birth 10/02/2003
category SC/X Religion Hindu
Nationality INDIAN Country INDIA
WARD N0 03
Home Address of your WCL GM OFFICE
Aadhaar No. 8208 4213 1244
country CAMPUS5
PARASIA
Permanent Address WARD NO 03 WCL GM OFFICE CAMPUS PARASIA
State M.P. District Chhindwara
Pincode 480441 Tel. No. +91
Mode of Admission 10+2 Marks Obtained/ Out off 330.00/500
Medium of Instruction English
Class Board/University Passing Year Markobtained/Out Off
Name of the
Board/University Already [10+2] MP 2021 330.00/500
Passed
Other HIGHERSECONDARY 2021 330.00/500
Enrollment Fee Paid to
Migrated From M.P. 1550
RGPV
Name of the Board/University Year Migration Certificate No.
Board/University last (attach in original)
attended with Year MP 2021
Instructions
IL Attach all the below mentioned certificates (PhotoCopy) with your Enrollimentform print out and submit in Your Institutions
1. Counseling admission sip 2. Mark sheet of 10th & 12th(Photocopy) 3. TC(Photocopy) 4. Migration Certificate(Original). 5.
Online Payment Receipt
Diploma Hoiders: 1. 10h Marksheet (Photocopy) 2. Diploma/B Sc. Marksheet(Photocopy) 3. TC(Photocopy) 4. Migration (Original)
(Not Required for RGPV Diploma Holders)
