Computer Center - Proxy Registration Portal

Proxy Registration Form for Students

Name of the Applicant*	:	Mr Ms Mrs
Date of Birth* (dd/mm/yyyy)	:
Enrollment Number* (Enter either your Enrollment Number OR Mobile Number Only)	:
Course Studying*	:
Institute/Faculty/Unit*	:	Select Institute/Faculty/Unit Academic Staff CollegeBharat Kala BhawanBHU PressCenter for Study of Soc. Exclu. and Inclu. PolicyCentral Discovery CentreCentral Hindu Boys,SchoolCentral Hindu Girls,SchoolCentral LibraryCentral Office Chief Proctor OfficeComputer Centre Controller Office DACEEWSSFaculty Guest HouseFaculty of ArtsFaculty of AyurvedaFaculty of CommerceFaculty of Dental ScienceFaculty of EducationFaculty of LAWFaculty of Modern MedicineFaculty of Performing ArtsFaculty of Sanskrit Vidya Dharma VigyanFaculty of Social ScienceFaculty of Veterinary and Animal SciencesFaculty of Visual ArtsGanga Research Indian Institute of Technology (IIT BHU)Institute of Agriculture ScienceInstitute of Environment and Sustainable DevelopmentInstitute of Management StudiesInstitute of Medical ScienceInstitute of ScienceInternational CentreKendriya Vidyalaya BHULD Guest HouseMahila Maha Vidyalaya (MMV)Malaviya Shishu BiharMalviya BhawanMalviya Ethic CentreN.C.C. (BHU)OtherOthersProctor OfficePublic Relation OfficeRajiv Gandhi South CampusRanveer Sanskrit VidyalayaSanitary and Support ServicesSchool of NursingShopping Centre ComplexSir Sunderlal HospitalStaff Health CentreStudent Health CentreStudent Welfare CentreTrauma CentreUddyan Vishesagya IkaiUniversity Employment Information BureauUniversity Guest HouseUniversity Sports BoardUniversity Works DepartmentVadic Vigyan Kendra
Department*	:
Whether Hostelar*	:	NO YES
Course Completion Date* (dd/mm/yyyy)	:
Whether Research Scholar*	:	NO YES
Specify Old Login Id (If Any)	:
Mobile Number*	:
Nationality*	:	Indian Foreigner
Email ID*	:
Your "Login-USERNAME" for Proxy will be generated automatically after submitting this form
Enter Password* (Kindly notedown the password for future use)	:
Re-Enter Password*	: