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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:
  Contact Address: Income Certificate: Domicile:
  Permanent Caste Certificte:
State: Bank Name:
  City: A/c No.:
  Gender: IFSC Code:
  Nationality:   Age as on:
  Religion :   Label
  Caste: Student Photo:  
Category:
  What's App. No.:  
  Mobile No.  
Aadhar No.:  
  Pan No.: Status:
  Enrolment No.: Narration:
  College Code: College Name:
         
 
Exam Passed Board/University School/College Roll No. Pass Year Marks Obt. Total Marks % Subject Stream  
  Registration Fee: Rs. 300/-    
  Please Select the QR Code & Pay Rs. 300/- for Online Registrstion. And note down your registration No.    
  Enter Transaction UPI ID:    
  Help Line No.: 9368351392
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