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DIRECTORATE OF DISTANCE EDUCATION
Lalit Narayan Mithila University Kameshwaranagar
Darbhanga, Bihar 846004, India

Admission Form / Challan Form

* Year
* Student Name
* Father Name
* Mother Name
Image

Image Size :150 X 150

* Date of Birth
* Roll No
* Gender
Student Aadhar No
* Mobile No.
* Category
* Employment Status
* Territorial
* Nationality
* Religion
* Maritial Status
* Course
* Programme
* Subsidiary Subject
History
Political Science
Sociology
Philosophy
Ancient Indian History
* Subsidiary Subject
R B Hindi
* Subsidiary Subject
Business Management
Business economic
Monitery Financial system
R B Hindi
* Session
* Fee Head
  Educational Qualification
Name Of ExaminationBoard/UniversityYear Of PassingFull MarksMarks Obtained   % MarksDiv/Class
Metric (10th)
Inter(10+2)
Graduation
Other

* Study Centre Code
* Present address
* Permanent Address
* Select Payment Option
* Amount
Provisional Certificate, CLC ,DLC ,Date Of Publication Certificate , Migration
Original Certificate
It is mandatory to submit the form in college

DECLARATION

I hereby declare that the above particulars are correct to the best of my knowledge and belief and I fully understand that my admission will stand cancelled in case if any of the information given above by me is found to be incorrect or false.

I further declare that I shall abide by all the rules and regulations of the Directorate of Distance Education and also I am not pursuing other programme through distance mode anywhere.

Place: .............
Date:.............

Image Size :150 X 150





Signature of the Candidate
Mandatory fields are marked with an asterisk(*)
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