VSM Group of Institutions
Applicant Enrollment Form
Email address *
Course Applied for IBPS
Medium of Instruction *
Applicant's Name *
Your answer
Father's Name *
Your answer
Father's Occupation *
Your answer
Date of Birth *
MM
/
DD
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YYYY
Reservation(If any)
House Number
Your answer
Street
Your answer
City/Village *
Your answer
Mandal *
Your answer
District *
Your answer
State
Pincode
Your answer
Mobile Number *
Your answer
Email-ID
Your answer
Name & Place of Institution of SSC *
Your answer
SSC Year of Passing & Marks(%) *
Your answer
Name & Place of Institution of Intermediate *
Your answer
Intermediate Year of Passing & Marks(%) *
Your answer
Name & Place of Institution of Degree
Your answer
Degree Course *
Degree Year of Passing & Marks(%) *
Your answer
I am paying the fee prescribed for the admission to the course and I understand that the fee paid by me is not refundable under any circumstances. I agree to abide by the rules and regulations of VSM Group of Institutions, It does not guarantee me the rank /admission of the course. *
Place *
Your answer
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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