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Admission Form BSc

*

Indicates a required field.

PERSONAL DETAILS

*Full Name

*Father Name

*Mother Name

*Date of Birth

*Gender

Male Female

*12 digit Aadhar No.

*Cast Category

*Religion

EDUCATION & QUALIFICATION

High School Details

*10th Roll No

*10th Passing Year

Intermediate Details

*12th Stream :

*12th Roll No:

* Obtain Marks:

*Total Marks:

*12th Passing Year:

Graduation Details: Note- Only filled by 2nd/ 3rd Year students

*Last year Roll No

*Obtain Marks

*Total Marks

*Passing Year:

* Special type

CONTACT & ADDRESS

* Mobile No

* Email id

*Parents Mobile No

*Current Address

Fee Statement

* Receipt No:

* Receipt Date

*Fees Amount

* Any Remark?

SUBMIT