Maharaja Agrasen International College

NAAC Accredited B+

(Run By Shree Maharaja Agrasen Charitable Trust)
Affiliated to Pt. Ravishankar Shukla University, Raipur
Shree Ramnath Bhimsen Marg, Samta Colony, Raipur - 492001 (C.G.) INDIA
Contact us: 0771-4024459, 4066664, 9770971171
Email: [email protected] Website: www.maicindia.org

Admission Form
Session - 2026-2027

Academic Details

Enquiry No :	Visitor Date :	Course : *	Branch : *	Semester / Year *	ABC ID*

Personal & Contact Details

Student Mobile No.*	First Name * Max. 50 characters	Middle Name	Last Name Max. 50 characters


Student Category	Gender *	Father's Name *	Father's Mobile No *


Mother's Name *	Mother's Mobile No *	Enter OTP*	Pin Code *	State *


City *	E-Mail *	Date Of Birth*	Permanent Address*


Category *	Aadhar No. *	Parent Email*	Blood group*


Upload Photo *	Local adddress	Religion*

Qualifications Acquired

Class/Degree	Name of Board/University	Subject	Year of Passing	Percentage
High School Class X :
Higher Secondary Class XII :
UG Degree:
PG Degree:
Others: