Dhirendra Mahila P.G. College

Sundarpur, Near Pani Tanki, Varanasi, UP 221005

🎓 Convocation Registration Form

Organized by Dhirendra Mahila P.G. College

👤 Student Details

Name *

Father's Name *

Course *

Year of Passing *

Enrollment No. *

University Roll No. *

Mobile No. *

E-mail ID

Address *

💳 Registration Fee

Convocation Registration Fee

On clicking "Pay ₹500 & Register" below, you will be redirected to CCAvenue's secure payment page to complete the fee payment. Your registration will be confirmed only after successful payment.

📝 Declaration *

I hereby declare that the information furnished by me is true and correct.

Date *

Signature of Student *