Excellent Academy                                  
Excellent PU Science College, Vijayapur (Bijapur)
Ist PUC Admission Application Form
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Bank Account Details
Name of the Student (In Capital Letters) *
Gender *
Date of Birth *
Name of the Father *
Father Occupation *
Name of the Mother *
Mother Occupation *
Name of the School last studied *
Medium *
Type of the School *
SSLC Hall Ticket Number
Type of Admission *
Language Combination *
Subject Combination *
Course of Your Interest *
Caste *
Sub Caste *
Van Facility *
Mobile No *
Address for Communication *
Email *
Mode of Payment *
Bank Transaction ID/UPI ID/ UTR ID *
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