Admission sought in |
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Semester |
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Year of B.Sc. (IT) during the academic year |
2020 -21 |
1.Name : Mr./Ms ((IN BLOCK LETTERS) |
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(As appeared in HSC Certificate) |
Surname |
Name |
Father |
Mother |
2.Present Address |
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Contact No (Self) |
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3.Native Place Address : (For Long Journey Concession) |
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Contact No (Parent) |
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4.Date of Birth |
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5.Place of Birth |
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Age |
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6.District |
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7.State |
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8.Nationality |
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9.Caste |
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10.Mother Tongue |
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11.Religion |
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Student Email ID: |
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12.Adhar Card No |
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13.Physically Challenged Yes/ No. If Yes, submit documentary proof for the same |
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Blood Group | |
14.Do you belong to SC/ST/DT/NT/VJ NT/ OBC/ SBC? Yes/No (If Yes, submit documentary proof for the same for getting freeship/scholarship) |
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15.Do you belong to Muslim / Sikh / Boudh/ Christian/ Parsi/ Jain/ Maratha Community ? If yes put tick |
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