Name * Father's Name *

Mother's Name * Gender *

Date of Birth * Aadhar Number *

Mobile Number * Email Id *

Address * Block *

District * Pincode *

Native State * University Name *

Institute Name * DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSITY, GORAKHPUR Student Enrollment Number(Do not mention DDU College or Other college name) *

Name of Course * Level of Course *

Level of Enrolled In * Current Course Year *

Fees Due if any * Fees NOC *

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