Application Form
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Programme Applied For *
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B.Des (User Experience)
M.Des (User Experience)
B.Tech CS (AIML)
B.Tech CS (Blockchain)
BBA(Digital Marketing)
B.TECH - Full Stack Development
BCA - Full Stack Development
MCA - Full Stack Development
MBA - Full Stack Development
Details of Qualifying Entrance Examination
Name of Qualifying Exam
Month & Year
Score and Rank
Personal Details
Name *
Date of Birth *
Category
Nationality
Contact Details
Address *
City
State
Zip
Email
Phone Number
Mobile Number*
Parents Details
Father's Name
Mobile number
Mother's Name
Mobile number
Educational Qualifications
Examination Passed 10th *
School/college and board/university
Year Of Passing
Subject
% of marks/CGPA
Examination Passed 12th
School/college and board/university
Year Of Passing
Subject
% of marks/CGPA
Graduation
School/college and board/university
Year Of Passing
Subject
% of marks/CGPA
Other
School/college and board/university
Year Of Passing
Subject
% of marks/CGPA
From where did you come to know about Jagan Nath University.
Friends/Family
Newspaper
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Magazine
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