| Degree Name * |  | 
                            
                                | Course Name * |  | 
                            
                                | Admission To * |  | 
                            
                                | Nationality * |  | 
                            
                                | Domicile State * |  | 
                            
                                | Year/SEM * |  | 
                            
                                | College / Department Name * |  | 
                            
                                | UUCMS Application Id / Applicant Mobile No* |  | 
                            
                            
                                | Name of the Candidate * |  | 
                            
                                | Gender * |  | 
                            
                                | Category * |  | 
                            
                                | Mobile number * |  | 
                            
                                | Email Id* | *
                                    * | 
                            
                                | Payment  Type * |  | 
                            
                                | Total Fee | * | 
                            
                                | Remarks |  |