Admission

Programme of Study* Semester *

Roll Number

Name of Student *

Student Photo : *

D.O.B *

Gender

Category Others

Father's Name *

Mother's Name *

Correspondance Address *

Phone No. of Student *

Email of Student *

10th Board * 10th Marks *

12th Board * 12th Marks *

Diploma Board Diploma Marks

Qualifiaction Criteria *

Bank A/C No *

IFSC Code *

Name of Branch *

AADHAAR NO*

S.NO * Course Code * Name of Subject * Credits *

Semesters * Marks *

Semesters * Marks *

Totals of Years * Marks *

Fees * Late Fees

Date of Deposit *

In Figures Deposit *

In words Deposit*

Student Signature *