CANDIDATE INFORMATION FORM (PG) - 2019-20
PLEASE NOTE THAT ALL INFORMATION MUST FILL BLOCK LETTERS ONLY
Admission in (COURSE): *
Surname: *
First Name: *
Father's / Husband's Name: *
Email ID: *
Sex: *
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth (As per Transfer Certificate/Leaving Certificate): *
Age as on 31-12-2018 (Year, Month, Days): *
Nationality: *
Domicile State: *
Religion: *
Caste (As per Transfer Certificate/Leaving Certificate): *
Caste & Category: *
Address for Communication (Local): *
Mobile No.: *
Student PAN No.: *
Student Aadhar Card No.: *
Parent Full Name: *
Parent E-mail ID: *
Parent PAN No.: *
Permanent Address of the Parent: *
City: *
Pin code: *
State: *
Mobile No. of the parent & Telephone No. with STD Code: *
Name & permanent address of the Local Guardian: *
Mobile No. of the Guardian & Telephone No. with STD Code: *
Kindly confirm the above data before moving on to the next Section
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