B.SC Sem 1 Admission Report

Form No:

Full Name:

Mother's Name:

Father's Name:

Father's Mobile :

Father's Occupation :

Yearly Income :

Rs/-

Handicap :

Birth Place :

Birthdate :

Sex:

Marital status:

Catagory:

Subcast:

Address1:

Address2:

City:

Ta:

Pincode:

Dist:

Mobile No:

Phone No:

Email :

Adhar Card No. :

Last Exam No:

Trial:

Pass Year:

Pass Month:

Total Marks:

Obtained Marks:

Class:

Semester:

Admission Year :

Subject Group in 12th Sci. :

Subject Group :

Priority	Subject Group

Bank Name:

Bank A/C No:

Fee Receipt No.:

Date:

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B.SC Sem 1 Admission Form Confirmation