University Of Patanjali

Application Form 2024-2025 Offline Form Download
Status

Select Course *

Name (As Per Matriculation)*

Father's Name*

Mother's Name*

Guardian's name in case of orphan

Date Of Birth(As Per Matriculation)*

DOB (In Words)*

Age on 31st July(Current Year)*

Nationality*

Caste*

Gender*

Male Female

Marital Status*

Single Married Divorced

Whether Physically Challenged

Yes No

Select Religion*

Aadhar Card No.*

Correspondance Address

Address *

Select State *

Select District *

City *

Police Station

Pincode *

If Permanent Address same as Correspondance Address

Permanent Address

Address *

Select State *

Select District *

City *

Police Station

Pincode*

Applicant Email*

Landline No.

Applicant WhatsApp No.*

Detail of repeat/supplementary Exam in qualifying Exam(if any)

Education Qualification: (Starting From 10th)

S.No	Education	Board/University	Passing Year	Total Marks	Grand Total	Marks(%)
	*

Gap Year if Any

No Yes

10th Marksheet (.jpg, .png only) & File size must be less than 600 kb*

10th Certifiacte (.jpg, .png only) & File size must be less than 600 kb*

12th Marksheet(.jpg, .png only) & File size must be less than 600 kb

UG Marksheet for PG Program(.jpg, .png only) & File size must be less than 600 kb

Drag & drop your photograph here or click to browse & File size must be less than 600 kb

Drag & drop your signature here or click to browse & File size must be less than 600 kb

*Please keep your duly filled application form with Payment Transaction /Reference Number for further references.

Application Form 2024-2025 Offline Form Download Status

Application Form 2024-2025 Offline Form Download
Status