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Admission Request form
FormId
Full Name of the Candidate(as per 12th marksheet)
Name of College
Address For Correspondence with pincode
Email ID
Mobile No
Gender
Male
Female
Date of Birth (Date/Month/Year)
Birth Place
Nationality
Country
Domicile
State
Aadhar Card No
Voter Id No (If Student is registered in Voter's list of Election Commission then mention your Identity Card NO issued by Election Commission of India)
Constitutional Category of the Student
Quota
Details of Examination
Total Marks :
Percentage :
Month & Year of Passing :
Marks in English
Marks
Physics
Chemistry
Biology
Total Marks(PCB)
Willingness about organ donation after accident death for transplantation donor Card will be issued
No
Yes
Physically Handicapped
No
Yes
Do you have Caste Certificate?
No
Yes
Not Applicable
Do you have Caste Validity Certificate?
No
Yes
Not Applicable
Do You Have Non Creamy Layer Certificate?
Yes
No
Not Applicable
Name of HSC / CBSC / ICSE Board
Qualifications :
Examination
Subject /Course
Registration No
Divisonal Board
Month & Year of Passing
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