REGISTRATION-CUM-ADMISSION FORM
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NAME *
FATHER'S NAME *
MOTHER'S NAME *
DATE OF BIRTH *
MM
/
DD
/
YYYY
ADHAR NUMBER *
SEX *
CATEGORY *
PERMANENT ADDRESS *
PRESENT ADDRESS *
MOBILE NUMBER *
E-MAIL ID *
COURSE YOU APPLYING FOR *
10th (Passing Year, Percentage, Mark Secured, Board) *
12th (Passing Year, Percentage, Mark Secured, Board)
Graduation (Passing Year, Percentage, Mark Secured, Board)

I hereby solemnly declare that I have read the prospectus thoroughly and thereby understood the conditions of eligibility for the programme for which I seek admission. I fulfill the minimum eligibility & I have provided necessary information in this regard. In the event of any information being found incorrect or misleading, my candidature shall be liable for cancellation by the university at any time and shall not be entitled to refund of any fees paid by me.

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