Shree Digamber Institute of Technology, Dausa
Provisional Admission Form
NH - 11, Near Bhandarej Mode,
Dausa, Jaipur (Raj.)
Name of the Student (In Capital Letters) *
Date of Birth: *
MM
/
DD
/
YYYY
Gender (Male / Female) *
Permanent Address: (With Pin Code) *
Students's Mobile: *
Father's Mobile: *
Aadhar Card No.: *
Preferences of Course *
Exam. Passed (Class X): *
Year of Passing (Class X): *
Name of Board (Class X): *
% in Class X: *
Exam. Passed (Class XII):
Year of Passing (Class XII):
Name of Board (Class XII):
Subjects in Class XII:
% in Class XII:
Diploma
B. Tech.
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