D.B.B.Khanjire Shikshan Sanstha's Night College of Arts and Commerce, Ichalkaranji (2021-22)
Provisional Admission Form 2021-2022

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Student Full Name / विद्यार्थ्याचे पूर्ण नाव (आडनाव प्रथम ) *
Fathers Full Name / वडिलांचे पूर्ण नाव (आडनाव प्रथम ) *
Mothers Full Name / आईचे पूर्ण नाव (आडनाव प्रथम ) *
Full Address with Pin Code / पूर्ण पत्ता *
Date of Birth / जन्म तारीख *
MM
/
DD
/
YYYY
Adhar Card No. / आधार कार्ड नंबर *
Students Mobile No. / विद्यार्थ्याचा मोबाईल क्रमांक *
Parents Mobile No. / पालकांचा मोबाईल क्रमांक *
EMail / ई मेल *
Religion and Caste / धर्म व जात *
Admission Class / प्रवेशित वर्ग *
Are you interested for NSS (National Service Scheme) /राष्ट्रीय सेवा योजनेमध्ये सहभागी होऊ इच्छिता का  
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