(Approved by AICTE/NCTE New Delhi / D.T.E. Bhopal Affiliated to RGPV, Bhopal / B.U. Bhopal)

Campus : Nathu Barkheda Road, Near Neelbad Chouraha, Bhopal,
Phone No. 0755-2525100, M.9200100400, 9200300600
Fax: 4026012
Admission Registration Form
Application for Admission to
Degree/Diploma Course in:
Name of Candidate
(in Block Letters)
Father's Name
Mother's Name  
Parmanent Address  
Local Guardian's full Name Mr. Relation
Father's Occupation Designation
Office Address  
Date of Birth (dd/mm/yyyy)
Mention Clearly Whether General /OBC/SC/ST  
Phone No. with STD Code (1). (2). Mobile.
Local Address  
Percentage of Marks in qualifying Exam  
Amount Paying (Rs). Date :  
For Admission Guidance Please Contact Following No:- 09200100400, 09200300600, 09977991925

Payment Options :
1) You Can Deposit Direct Amount Rs. 10,800 in millennium Education and Develoment Society Account.
Account Number : - "10571049032 State Bank of India ,Bhopal" Branch T.T. Nagar,Bhopal,  IFSC Code : SBIN0030005
2) This Amount will be included in your fees.

I hereby acknowledge that I have given correct information and shall attend minimum 75%
classes during session. I agree to abide by all rules and regulation applicable from time to
time by college.
Note : Confirmation of admission subjected to DTE/RGPV Counseling/approval.
* How did you come know about millennium Group
* Please give reference of your friends/relatives
(if they are eligible) who wants to take admission in any of courses available in Millenium)