Provisional Admission Form
2021-22

Personal Details :-

Application No.
Student Name
Email
Contact Number



Date of Birth
Gender
Aadhar Number



Father's Name
Mother's Name
Category



Religion
Nationality

Address Details :-

Address
State



City
Pincode

Course Details :-

Discipline
Programme
Specialization

Education Details :-


10th
Status
Board
CGPA / %
Year
Subjects

12th
Status
Board
CGPA / %
Year
Subjects

UG
Status
Board
CGPA / %
Year
Subjects

Hostel Details :-

Apply for Hostel
Hostel Type  

Upload Documents :-

File size : 200KB / jpg,jpeg,doc,docx,pdf only
Profile Image
Signature
Aadhar
10th Marksheet
12th Marksheet
UG Marksheet


Plot No.IS-2036 to 2039
Ramchandrapura Industrial Area
Vidhani, Sitapura Extension
Jaipur-303905 Rajasthan,India.


Toll Free No.:1800-120-5616
Mail to : admission@jecrcu.edu.in