Enrolments Download Form COURSE APPLIED PERSONAL RECORD Name: Date of Birth: DAY 01020304050607080910111213141516171819202122232425262728293031 MM 010203040506070809101112 YEAR 1975197619771978197919801981198219831984198519861987198819891990 Gender: Male Female Name & Address of Father / Guardian: Pin Code:                      Attach your Photograph   Father's Occupation: Office Phone:  Residence Phone: Email ID: ACADEMIC RECORD Exam Passed: Matric   10+2   B.Com   B.A/B.Sc.   Undergoing Degree Course   Any other Course Do you have any Physical Disability: Yes No Blood Group: Attach medical fitness certificate: Yes No I hereby declare that the personal information given in this form is true and that no material information is wilfully suppressed by me. I stand to be disqualified to being admitted to the institute in the event of being found to have given false information. I hereby agree to abide by the rules and regulations made from time to time. Date: DAY 01020304050607080910111213141516171819202122232425262728293031 MM 010203040506070809101112 YEAR 20052006200720082009201020112012201320142015    Place:

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