LUCKNOW UNIVERSITY CENTRE FOR ONLINE AND DISTANCE EDUCATION (LUCODE)
REGISTRATION FORM
LUCKNOW UNIVERSITY CENTRE FOR ONLINE AND DISTANCE EDUCATION (LUCODE) -
REGISTRATION FORM
SESSION 2024-25
Personal Information
Course Type
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Under Graduate
Post Graduate
Course Applied For
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Eligibility :
DEB Unique Id
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ABC ID PPT
ABC ID Video
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ABC Id
Student's Name
Phone No.
+91
Email Id.
Date of Birth
Gender
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Other
Father's Name
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Mother's Name
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Alternate Phone No.
+91
Aadhar No.
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Category
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Sub Category
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Religion
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Blood Group
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Is Physically Challenged If yes Mention Category
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Mention Category
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Orthopedic
Visual
Hearing
OTHER
Territory
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Rural
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Nationality
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Indian
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Any other course pursuing
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Pursuing Course
Occupation
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Caste Certificate Number
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Permanent Address
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Address
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State
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City
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Pin Code
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Correspondence Address
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Address
State
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Pin Code
Previous Examination Details
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Eligibility Qualification
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Intermediate
High School
Board
Roll No.
Year
Year
Subject
Obt.Marks
Max.Marks
Percentage
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Sr.No
Qualification
Exam/Board
Roll No.
Passing Year
Subject
Marks Obtained
Max. Marks
Percentage
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Document
Action
Student Photo & Signature
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Student's Photograph
Student's Signature
Fees : 250 Rs.
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OTP
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I do hereby declare that all the above information given by me are true to the best of my knowledge and belief. If any of the information or documents are found to
be wrong or fake at any later stage, the admission would be cancelled and the admission fees would be forfeited
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