Application Form for Admission in UTD Courses - 2018-19
Admission Form
Field's marked with * are mandatory
Type of Courses*
Course* Department*

Applicant's General Details

First Name* Last Name
Father's/Husband Name* Father's/Husband Occupation*
Mother's Name* Mother's Occupation*
Guardian Name* Guardian Address*
Date of Birth* (dd-mm-yyyy)
Click to see the Age eligibility
Place of Birth*
Email* Mobile*
Category* Gender*
Nationality* Medium*

Whether domicile of Madhya Pradesh*

Sub Category Click to see the weightage code

Permanent Address*

Copy To Correspondence Address

Correspondence Address*


Last Institution Attended

Name Year
Enrolment Number University/Board

Academic qualification (From High School/Higher Secondary Onwards)

1)In case result of qualifying examination is awaited ,student is required to enter average percentage of marks of all previous semester of qualifying examination.
2)In case evaluation criteria measured in SGPA or CGPA , student is required to enter appropriate percentage (as per conversion formula adopted by Board or University) of marks.
Select Roll No Year Marks Obt Total Marks Subjects % Board/University Institute Name Marksheet No If Result Awaited
Is there any gap between studies

Other Details

Whether applied for admission to any other course of this university: *
Whether the applicant is in service: *
Whether the applicant's parents are working in this university: *
Extra Curricular Activities

Enclosures *

Proof for DOB Marksheet Gap Certificate Migration certificate
(Click browse to upload your signature)/अपने हस्ताक्षर अपलोड करने के लिए ब्राउज़ क्लिक करें
Caste Certificate Sub Category Certificate
Eligibility certificate


I declare that the information given above is correct. I have read the admission rules prescribed by the University and shall abide by them and by all the other rules of the University. Further, I declare that I am not pursuing any course from Label or any other University, either regularly or part time or through Distance mode, fetching me any degree. I, hereby declare that if I do not submit the required caste certificate/other certificate/ relaxation at the time of entrance test for getting weightage and if I do not provide the correct information in required column then I will have no objection if I am considered as a general candidate for admission.A candidate can apply to a maximum for three courses as per his/her eligibility.