MA Form

While uploading the file make sure the file size should be LESS Than 500 KB

SELECT COURSE

SELECT GROUP

Name of the Candidate *

Passport Image *

File should be less than 500 KB

Date Of Birth *

Father name *

Mother name *

Mobile No *

(Should not be changed during the period of study)

Whatsapp No *

Email ID *

Reg No (If already registered)

Permanent Address *

Present Address *

Nationality *

Category *
General OBC SC ST

Gender *
Male Female

Marital Status *

Aadhar No / Voter Id / Passport No *

Source of information about SYVA *

Are You Employeed *

HSC Certificate *

File should be less than 500 KB

+2 Certificate *

File should be less than 500 KB

+3 Certificate *

File should be less than 500 KB

Full Signature *

File should be less than 500 KB

Blood Group *

DECLARATION I declare that the particulars furnished in this form are true to the best of my knowledge and belief. I further declare that in case any of the above information is found to be incorrect at any time, I shall be liable to forfeit my seat and to such penal action as the college authority may deem appropriate. Date: Full signature of the Applicant List of enclosures required: 1. Three recent color passport size self attested photographs. 2. Attested copies of mark sheets and certificates of all the examinations passed. 3. Attested copy of conduct certificate from the institution last attended. 4. Certificate of SC/ST, if applicable. 6. Two Self-Addressed Envelopes (22cmx10cm) 7. Attested copy of Registration Certificate of Utkal University of Culture, if already registered. 8. Migration Certificate in original (students from other university) 9. Copy of the Aadhaar Card. 10. Receipt in support of transfer/deposit of Rs.7500/- in (SBD A/c No-09230103148572,UCO Bank,Main Branch,Bapuji Nagar,BHubaneswar, IFSC: UCBA0000470) in original towards purchase of form and admission fees.
Payment Receipt / Transaction Proof/ Screenshot File Size should be less than 1 MB I accept the Above Declaration