Examination Application Form 1. Registration Details / पंजीकरण के विवरण 1. Have you got online reference number for enrollment with UIPT/Accreditation/Extension Center Student Name Father's Name Mother's Name Date of Birth Gender Male Female Catagory Select One Genral OBC SC ST Email Address Line-1 Address Line-2 Address Line-3 City Select City Kanpur Lucknow Ghaziabad Agra Meerut Varanasi Prayagraj Bareilly Aligarh Moradabad Saharanpur Gorakhpur Noida Firozabad Jhansi Muzaffarnagar Mathura-Vrindavan Budaun Rampur Shahjahanpur Farrukhabad-Fatehgarh Ayodhya-Faizabad Maunath Bhanjan Hapur Etawah Mirzapur-Vindhyachal Bulandshahr Sambhal Amroha Hardoi Fatehpur Raebareli Orai Sitapur Bahraich Modinagar Unnao Jaunpur Lakhimpur Hathras Banda Pilibhit Barabanki Khurja Gonda Mainpuri Lalitpur Etah Deoria Ghazipur Sultanpur Azamgarh Bijnor Sahaswan Basti Chandausi Akbarpur Ballia Tanda Greater Noida Shikohabad Shamli Awagarh Kasganj State Select State Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli and Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Ladakh Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal Area Pincode Send