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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.
B.A.M.S. ( A.M. )
B.Com
B.E.M.S
B.Ed
B.N.Y.S.
B.P.T.
B.SC
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.N.Y.S.
D.PHARMA AYURVEDA
D.PHARMA UNANI
D.PHARMACY
DENTAL TECHNICIAN
Diploma
Diploma in Optometry
E.M.T.
ELECTRICIAN
FITTER
G.N.M.
G.N.M. ayurveda
GDA
HEALTH SANITARY INSPECTOR
HOSPITAL HOUSE KEEPING
I.T.I.
L.K.G
LL.B
LL.M
M.A.
M.B.A.
M.D. ( A.M. )
M.D.E.H.
M.SC.
NURSERY
O.T.
P.G.D.M.
PANCHKARMA
PHYSIOTHERAPY
PHYSIOTHERAPY TECHNICIAN
SANITATION
U.K.G.
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
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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
What's App. No.:
Mobile No.
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
183
2015110112
10th
0
0
0
0
0
0
0
0
Edit
Delete
185
2015110112
Graduation
Rajasthan University
University of Rajasthan
0
2022
0
0
0
0
Edit
Delete
186
2015110112
10th
0
0
0
0
0
0
0
0
Registration Fee:
Rs. 300/-
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