Madhyanchal Mukt Vidhyalay Shiksha Sansthan

Student Name *

Gender *

Religion *

Nationality *

Category *

Date of Birth *

Email-Id *

Contact No. *

Correspondence Address. *

Father Name

Mother Name

Student Type

Examination Type *

Medium *

State Name of Centre *

City Name of Centre *

Center Name / Center Code *

Session *

Fees *

Class Name *

Photo	(Allow only png, jpg, jpeg format for file upload.)	Signature	(Allow only png, jpg, jpeg format for file upload.)
Dath of Birth Proof	(Allow only pdf, png, jpg, jpeg format for file upload.)	Aadhar Card	(Allow only pdf, png, jpg, jpeg format for file upload.)
Affidavit	(Allow only png, jpg, jpeg format for file upload.)