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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
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
Physically Handicapped
Do you have Caste Certificate?
Do you have Caste Validity Certificate?
Do You Have Non Creamy Layer Certificate?
Name of HSC / CBSC / ICSE Board  
Qualifications :
Examination   Subject /Course   Registration No   Divisonal Board   Month & Year of Passing