Student Data Collection Form for Banglar Uchhasiksha Portal (Krishnath College)
BASIC DETAILS
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Application ID
*
FIRST NAME
*
MIDDLE NAME
LAST NAME
*
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Social Category
*
Religion
*
Whether BPL
*
Blood Group
*
Nationality
*
Program Category
*
Pursuing Semester
*
Aadhaar No
*
Mobile No
*
Email Id
*
Whether Student is Disable
*
If disable, please provide the information of disability Type
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