MPGI Online Registration Form
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Name of the Student
First Name
*
Please Enter the First name.
Last Name
*
Please Enter the First name.
Name of Father / Mother / Guardian
First Name
*
Please Enter the Last name.
Last Name
*
Please Enter the Last name.
Course Applied for
*
--Select Course--
Computer Science and Engineering
Mechanical Engineering
Electrical Engineering
Electronics and Instrumentation
Electronics and Communication
Information Technology
Bachelor of Pharmacy
B.Sc.- Mass Comm. Advertising and Journalism
B.Sc.- Fashion Technology
B.Sc.- Interior Designing
B.Sc.- Multimedia
M.Sc.- Mass Comm. Advertising and Journalism
PG Diploma in Mass Comm. and Advertising
PG Diploma in Hospital Management
B.D.S
Bachelors of Business Administration (B.B.A)
Master of Business Administration (M.B.A)
M.C.A
Please select the course name
Date of Birth
*
Day
1
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Month
Jan
Feb
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Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
1980
1981
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1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
Please select the date
Please select the month
Please select the year
Gender
*
Male
Female
Category
*
Gen
| SC
| ST
| OBC
| PHY
| HND
Nationality
*
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Address
City
*
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State
*
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Tel. & Mobile (Parents)
*
Please write contact number
Email id (Parents)
Email id (Student)
Correspondence Address
*
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Academic Qualification (Chronological Order upto your highest qualification)
Write write year of passing
Write your board name
Write Percentage marks
Write your subject
Examinations
Year
Board / University
%Marks
Subject
Higher Secondary
*
Intermediate
*
Graduation
Post Graduation
Other If Any
School/ College Last Attended
