GOVERNMENT POLYTECHNIC ''''''''''''''''''''''''''''''''''''''''''MALVAN'''''''''''''''''''''''''''''''''''''''''''''
Email address *
*****************STUDENT INFORMATION*******************
Enrollment No *
Branch *
Roll No.
Current Year
Admission Year *
Name *
Surname First
Gender *
Religion
Caste
Date of Birth *
MM
/
DD
/
YYYY
Previous Instistute/School name
Date of Admission
( From fee receipt )
MM
/
DD
/
YYYY
Blood Group
Email *
Mobile No *
Parent Contact No. *
Permanent Address *
Local Address
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