Admission form for Women's Hostel
1. Name of the Applicant (In Block Letters): as per SSLC marks card *
2. Date of Birth : *
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3. Class to which admission is sought
Clear selection
4. Second Language
Clear selection
5. Percentage of marks in the qualifying exam : *
6. a. Mother's Name : *
b. Father's Name : *
7. Name of the Local Guardian :
8. Occupation of the Parent / Guardian : *
9. Permanent Address ofParent / Guardian :
10. Mobile No. of Parent / Guardian Mobile No. :
11. E- Mail Address : *
12. Name, Address and Phone No. of Local Guardian if any :
13. Nationality : *
14. Religion : *
15. Caste :
16. The Caste and Category to which you belong
17. Annual Income : *
18. Date : *
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