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    Enrollment Form

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    abhi7049banwanshi
    Aadhar card

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    Enrollment Form

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    abhi7049banwanshi
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    Aadhar card

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    12 views1 page

    Enrollment Form

    Uploaded by

    abhi7049banwanshi
    Aadhar card

    Copyright:

    © All Rights Reserved
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    Rajiv Gandhi Proudyogiki Vishwavidyalya


    Bhopal-462036
    ENROLLMENT FORM

    TO
    The Registrar
    Rajiv Gandhi Proudyogiki Vishwavidyalaya, Bhopal
    Sir,
    Giving the following details, I request you to please Enroll me in the Rajiv Gandhi Proudyogiki Vishwavidyalaya, Bhopal
    and also communicate me the allotted Enrollment Number: I have read all the rules, regulations and ordinances of
    the university relevant to me and promise to abide by them. I also promise to obey all the rules and regulations
    enforced by the university in future.

    Name OMKUMAR BANWANSHI Course 3.Pharm.(PCI)


    Institute Code & Name 0106 VNS Group of Institutions

    Branch [PY) B.Pharm.(PCI) Admission Date NA

    Email ID abhi7049banwanshi@gmail.com Mobile No. 480441

    NISHA
    Father's Name RAKESH KUMAR BANWANSHI Mother's Name
    BANWANSHI

    Gender Male Date of Birth 10/02/2003

    category SC/X Religion Hindu

    Nationality INDIAN Country INDIA

    WARD N0 03
    Home Address of your WCL GM OFFICE
    Aadhaar No. 8208 4213 1244
    country CAMPUS5
    PARASIA

    Permanent Address WARD NO 03 WCL GM OFFICE CAMPUS PARASIA

    State M.P. District Chhindwara

    Pincode 480441 Tel. No. +91

    Mode of Admission 10+2 Marks Obtained/ Out off 330.00/500

    Medium of Instruction English

    Class Board/University Passing Year Markobtained/Out Off


    Name of the
    Board/University Already [10+2] MP 2021 330.00/500
    Passed
    Other HIGHERSECONDARY 2021 330.00/500

    Enrollment Fee Paid to


    Migrated From M.P. 1550
    RGPV

    Name of the Board/University Year Migration Certificate No.


    Board/University last (attach in original)
    attended with Year MP 2021

    Instructions

    IL Attach all the below mentioned certificates (PhotoCopy) with your Enrollimentform print out and submit in Your Institutions
    1. Counseling admission sip 2. Mark sheet of 10th & 12th(Photocopy) 3. TC(Photocopy) 4. Migration Certificate(Original). 5.
    Online Payment Receipt

    Diploma Hoiders: 1. 10h Marksheet (Photocopy) 2. Diploma/B Sc. Marksheet(Photocopy) 3. TC(Photocopy) 4. Migration (Original)
    (Not Required for RGPV Diploma Holders)

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