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	STUDENT REGISTRATION FORM
	Registration No.:					Reg. Date:
	Student Name:					D.O.B:
	Father's Name:					Financial Year:
	Mother's Name:					Course:	--Select Course-- 10th 12th A.N.M. ASSISTANT FIRE OPERATOR B.A.M.S. ( A.M. ) B.E.M.S B.Ed B.N.Y.S. BA.LL.B CLASS 1 CLASS 2 CLASS 3 CLASS 4 CLASS 5 CMD CMS&ED D.E.M.S. D.M.L.T. D.PHARMA AYURVEDA D.PHARMA UNANI D.PHARMACY Diploma in Optometry E.M.T. ELECTRICIAN FITTER G.N.M. G.N.M. ayurveda GDA HEALTH SANITARY INSPECTOR HOSPITAL HOUSE KEEPING K.G. L.K.G LL.B M.D. ( A.M. ) M.D.E.H. NURSERY P.G.D.M. PANCHKARMA PHYSIOTHERAPY PHYSIOTHERAPY TECHNICIAN SANITATION ULTRA SOUND TECHNICIAN
	Contact Address:					Income Certificate:	YES NO N/A	Domicile:		YES NO N/A
	Permanent					Caste Certificte:	YES NO N/A
	State:	Andaman and Nicobar Islands Andra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadar and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadeep Madya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim Tamil Nadu Telagana Tripura Uttarakhand Uttar Pradesh West Bengal				Bank Name:
	City:					A/c No.:
	Gender:	MALE FEMALE OTHER				IFSC Code:
	Nationality:						Age as on:
	Religion :	Hinduism Islam Christianity Sikhism Buddhism Jainism Zoroastrianism Judaism					Label
	Caste:					Student Photo:
	Category:	SC ST GEN OBC MINORITY EWS
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	Aadhar No.:
	Pan No.:					Status:	Pending Pending Approved Reject
	Enrolment No.:					Narration:
	College Code:					College Name:
	Exam Passed Board/University School/College Roll No. Pass Year Marks Obt. Total Marks % Subject Stream   10th 12th Graduation Other
	ID RegNo ExamPassed Board_University School_College Roll_No Pass_Year Marks_Obt Total_Marks Per Subject_Stream Edit Delete 116 202300674 12th Sikkim bord Nios 0 0 0 0 0 Pcb Edit Delete 117 202300674 10th UP board skap high school berani jalesar etah 0204141 2013 389 600 64.83 science Edit Delete 119 202300674 10th UP BOARD Rafi Ahmed Inter College Hardoi 0 2016 394 600 65.66 Hindi, English, mathematic, science, social science drawing Edit Delete 120 202300674 10th UP BOARD Rafi Ahmed Inter College Hardoi 0 2016 394 600 65.66 Hindi, English, mathematic, science, social science drawing Edit Delete 121 202300674 10th UP BOARD Rafi Ahmed Inter College Hardoi 0 2016 394 600 65.66 Hindi, English, mathematic, science, social science drawing Edit Delete 122 202300674 10th UP BOARD Rafi Ahmed Inter College Hardoi 0 2016 394 600 65.66 Hindi, English, mathematic, science, social science drawing Edit Delete 124 202300674 10th UP BOARD Rafi Ahmed Inter College Hardoi 1238579 2016 394 600 65.66 Hindi, English, mathematic, science, social science drawing Edit Delete 125 202300674 10th UP BOARD Rafi Ahmed Inter College Hardoi 1238579 2016 394 600 65.66 Hindi, English, mathematic, science, social science drawing Edit Delete 127 202300674 10th UP. Bord Jai saita ram kishan inter college jhanjhana 0599345 2017 600 371 61.83 PCM Edit Delete 128 202300674 10th UP. Bord Jai saita ram kishan inter college jhanjhana 0599345 2017 600 371 61.83 Science Edit Delete 129 202300674 10th Allahabad board Muslim Arabic inter college 0 0 0 0 0 0 Edit Delete 130 202300674 10th 0 0 0 0 0 0 0 0
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