Addmission Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Batch : 201.......201........

Name of the Student :


Date of Birth :

Gender : Male ( ) Female ( )


Occupation :

Mobile no.: E-mail:

Category : SC ( ), ST ( ), OBC ( ), EWS ( ), GENERAL ( )

Postal Address :

City District Pin

Marital status : Married ( ) Unmarried ( )

Academic Record University/Board Degree Year of Percentage Division


Passing
10th
12th
Graduation
Masters
Others

Declaration by Student
I declare that all information in this application is complete, factually and honestly correct. I
promise to fulfill minimum 80% attendance in all the classes throughout the session. I have read the
rules and regulations adhere an abide by the same. I shall remain disciplined in the campus.

(Signature of the Student)

You might also like