Application for Admission
Note : Please read the form carefully before Filling it.
Attach the require documents as mentioned in educational qualification.
Result/Score of qualification examination.
Incomplete application will be rejected.
Form No. :
Registration No. :
(to be given by the office)
Course/Programme Details :
Faculty : Course Type :
Course Name :
Session/Year :
Personal Details :
Name (Mr./Ms.) :
Date of Birth :
Age :   (as in the Certificate of 10th examination)
Gender (M/F) :
Category : Nationality : Martial Status :
Contact Details :
Correspondence Address
Phone No :
Mobile No : Mail ID :
  Same as Correspondence Address
Permanent Address
Phone No :
Mobile No :
Family Details :
Father's Details
Name Occupation Phone No Mobile No Mail ID
Mother's Details
Name Occupation Phone No Mobile No Mail ID
Work Experience :
Yes No (If Yes, Total Experience : Year : Months :
Employment History
Organization/ Company Details :
Name of Company Address Duration Designation Nature of Work Salary Drawn
Usha Martin University

Campus Address :
12th Mile, Ranchi Khunti Road,
Near Hardag, Ranchi, NH75,
Ranchi, Jharkhand 835221


City Address :
Line Tank Road, 101 Commercial House
Sharda Babu Street, Main Road,
Near Firayalal Chowk, Ranchi - 834001

+91-76339-98101, +91-75420-29262