Application Form
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STUDENT ADMISSION FORM
Academic Year
Select Course *
PERSONAL DETAILS
Application Id
Student Full Name *
Last Name
First Name
Middle Name
Gender
Birth Place
Date of Birth
dd/mm/yyyy
Aadhar Card Number
Contact Number *
Email Id *
Mother Tongue
Region
SARAL Number
Religion
Caste With Sub Caste
Category
Nationality
Permanent Address
With Pincode
Local Address
With Pincode
Admission Type
PREVIOUS ACADEMIC DETAILS
Previous School / College Name and Address
Exam Month And Year
University / Board Name
Exam Seat No.
Exam Course Name
Previous School UDIES No.
Last Exam Name
Last Exam Percentage
Do not use % symbol here
Aggregate Total
Enter only numeric values
Exam Type
Exam Medium
PARENT DETAILS
Father's Name
Father’s Occupation
Father’s Office Address
(With landmark for location)
Pincode
Mother's Name
Parent Contact Number
Parent Email
HOSTEL DETAILS
Hostel (Yes/No)
Guardian Contact Number
Local Guardian Address
FEE DETAILS
Fee Amount
PROFILE IMAGE
Select Photo
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