Student Admission Form
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Course Detail
College    
Course Applied For: Group :
Subject : WRN No.(for 1st year only):
Personal Detail
Student Name :   Gender :
Batch Year :   Upload Photo:
Father Name:  Father's Occupation
 Mother Name: Mother's Occupation
 Guardian's Name: Guardian's Occupation
Date of Birth:    Category:  
 Caste: Community :
Address Detail
Address:   City:  
State:  
Postal Code:   Country:  
Father's Annual Income: Families Annual Income:
Mobile No.: Contact No.:
Class/Program Registration No. Board/University Percentage(%) Passing Year Remarks
10th        
12th        
Graduation  
Post Graduation  
Last School/College Attended :  
Encloser: Check List
1)High School Mraksheet and Certificate  
2)Intermediate (10 + 2)  Mraksheet and Certificate  
3)Transfer Certificate (Original)  
4)Character Certificate (Original)  
5)Migration Certificate (Original) if passed from CBSE/ICSE/NIOS and if passed graduation from other university (for admission in M. Sc.)  
6)Permanent Residence Proof  
7)Notary Affidavit (in case of gap year during studies)  
Declaration by the Candidate
Label   hereby declare that all the information given above is true and complete to the best of my knowledge and belief, and nothing has been concealed or distorted. Further, I agree to abide by the rules and regulations. If at any time i am found to have concealed or distorted any information and in case of misconduct, my admission shall cancelled and i shall be liable to such disciplinary action as may be decided by the college.

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