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Department

Stream & Branch


Roll no.
Univ. reg. No.
Participating/
Non Participating/
Debarred (Cite reason)
Y/N/D
Gender (M/F)
Hostel/Daysch/Commuter/Out Station Identifier
H or D or C or O  
H Hosteller
D Dayscholar
O Outstation
C Commuter
NAME
Forename
Middle Name
Surname
FATHER'S NAME
DOB(dd)
DOB(mm)
DOB(yy)
10th
Total Marks
Marks Obtd
10th (Incl. All Optional)

Total Marks
Marks Obtd
10th YOP

12th

Total Marks
Marks Obtd
12th YOP

Diploma

Total Marks
Marks Obtd

1st Sem

Max Credits
Current Grade Points
2nd Sem
Max Credits
Current Grade Points
3rd Sem
Max Credits
Current Grade Points
4th Sem
Max Credits
Current Grade Points
GAP-1
(10-12/Dip)
GAP-2
(12-Grad)
GAP-3
(Grad-Curr)

ADDRESS

Domicile
(State)
CONTACT
(Student)
Mobile

CONTACT
(Parent)
Residence
EMAIL ID

Category: GEN/SC/BC

Dream Company

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