RAMA UNIVERSITY UTTAR PRADESH, KANPUR
(Establishes under the Act of 1 of 2014 by UP legislature)
ENROLLMENT FORM(SESSION 201 _ -201 _ ) For Office Use Only
S. No. Enrollment No. Roll No. Year Faculty Course Branch
RU
*(All columns to be filled up by the candidate in capital letters except Enrollment No.) The Registrar,
Rama University Uttar Pradesh, Kanpur
I request you to enroll me as a bonafide student of the Rama University, details of which are mentioned here in below :- (Sri/Smt./Km./Mr./Dr./Late etc. should not be mentioned)
1. Full Name……….
2. Father’s Name………..
3. Mother’s Name………
4. Permanent mailing Address……….
City………..State………Pin Code………
5. Local mailing Address………..
City………..State………Pin Code………
6. Email………...………Mobile……...………
7. Date of Birth……….(In word)………
8. Gender (Male/Female)……… 9. Marital Status………
10. Religion……… 11. Nationality………..
12. Category – Gen. SC ST OBC PH Other (Specify)……….
13. Aadhar No……….. 14. Hosteller - Yes No
15. Date of admission in this University ………..
(To be filled up by the Dean office)
16. Previous qualifying Exam passed from the name of the board/University………
(Continued on back page)
Affix a self attested
passport size photograph
*Detail of educational qualification from matriculation/SSLC/SSC onwards. (Please attach self attested copy) Examination
Name
Board/
University
College Name
Roll No. Year of Passing
Subjects Obtained Marks/Perc
entage
17. Details of Admission fee
1. Receipt No: _________________________ Date: __________________ Amount: _______________
(Copy of Receipt enclosed)
Declaration
I hereby declared all columns are filled up by me, which is correct to my knowledge & belief.
Forwarded By
…..………
Dean (With Stamp) (Student Signature)
………...
RAMA UNIVERSTIY UTTAT PRADESH, KANPUR
Enrollment Certificate (Candidate’s Copy)
This is certified that the Sri/Km./Smt. ……….
S/O……….……… Course………the Student is Here by Enrolled this University and his Enrollment No. is RU………
Registrar
