Undertaking Registration form for Colleges
Fields marked with * are Mandatory.
Student's Details
First Name *
First Name
Middle Name (optional)
Middle Name
Surname / Last Name *
Surname / Last Name
Mobile Number (+91)*
Mobile Number
Email*
Email ID
Gender *
Male
City*
City
State*
Select State
Select Nationality*
Indian
Parent / Guardian Details
Parent / Guardian Name*
Parent/Guardian name
Parent / Guardian Phone Number (+91)*
Parent phone number
Parent / Guardian Email*
Parent/Guardian Email
Parent / Guardian City*
Parent/Guardian City
Parent / Guardian State*
Select State
Parent / Guardian address*
Drag from the bottom right corner to expand
College and Course Details
State in which college is based*
KARNATAKA
College name (Select College state first)*
JSS SHRI MANJUNATHESWARA INSTITUTE OF UG & PG STUDIES VIDYAGIRI D
Your College Details
College
C-46627
Code
College
JSS SHRI MANJUNATHESWARA INSTITUTE OF UG & PG ST
Name
University
U-0230
Code
University
Karnataka University Dharwad
Name
Select College first and then fill the following as per the
College details
College Director's Name *
Dr. Ajith Prasad
College Phone Number (+91)*
9611778055
College Landline Number (Optional)
College Landline Number
Details of the course (UG/PG/Diploma)*
Under Graduate Degree
Name of the Course *
BCA
Number of students in your class
80
Current year of study*
2
Nearest Police Station to yourcollege*
Vidyagiri, Dharwad
UGC Regulations
I confirm that I have read UGC's regulations on Ragging.(To read, click
on the link ABSTRACT OF UGC REGULATIONS ON RAGGING)
I confirm that I have read the Judgment of the Hon. Supreme Court on
prevention of Ragging.(To read, click on the link SUMMARY OF THE
JUDGMENT OF THE HON. SUPREME COURT )
I promise that I will not indulge in Ragging or any form of violent
behaviour. Neither will I tolerate being ragged or subjected to violence.
I understand that if I am accused of Ragging, the responsibility is on me
to prove that I am not guilty.
I will not remain a spectator to acts of Ragging. I will report the matter
immediately to my Principal/Director and/or to the Anti-Ragging
Helpline at 1800 180 5522 or email to helpline@[Link]
Confidential Survey
Please answer these questions truthfully and honestly because this survey is
totally Confidential, So no part of this survey is going to show anything to your
college.
Your college will only know that you have participated in this survey
Were you ever ragged ? *
No Yes
Did you ever rag anybody ? *
No Yes
What is the phone number of National Anti-Ragging Helpline *
Does ragging happen in your college ? *
No Mild Severe
WARNING: Please recheck your details (specially email addresses and mobile
number) before submitting the form
I have rechecked the form and confirm that all the details are correct.
Submit Form
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University/ Standalone Institution/ College Frequently Asked Questions
Dashboard
Information Packs
Admin Login
Videos on Ragging
NRMC
Contacts
University Grants Commission (UGC)
Anti Ragging Cell
6, Benito Juarez Marg
South Campus, South Moti Bagh
New Delhi - 110021
National Anti-Ragging Helpline
Phone No -: 1800-180-5522
Email -: helpline@[Link]
Monitoring Agency
Centre for Youth (C4Y)
New Delhi - 110068
Phone No -: 91-11416 19005
Email -: antiragging@[Link]
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