Maharaja Agrasen International College

Admission Form

For More Enquiry
Academic details
Enquiry No : Enquiry Date : *
Course : * Branch : Semester / Year

Personal details
Max. 50 characters
Blood Group
Mother Tongue Religion Caste

Parent details
Father's Occupation Type* Father's Annual Income Father's Mobile No.*
Mother's Occupation Type

Details of Qualification Acquired
High School Class X
High School Class XII
UG Degree
PG Degree
Other Degree

Family Background

Other details
Aadhar Card NO. Are you a Domicle of Chhattisgarh How do you come to know about MAIC?
Yes No News Paper Friends
Other StudentOther
Extra Curricular Activities interested in: Ambition of Life :
BandRover & RangerSport Other Activities

Contact details
Land Line No.* Student Mobile No.* Student Email Parents Mob. *
Local Address * Father's Permanent Address *
Pin Code State *