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RESIDENTIAL COACHING ACADEMY
ALIGARH MUSLIM UNIVERSITY, ALIGARH
2. Father’s Name:
3. Date of Birth:
4. Correspondence Address:
5. Permanent Address:
6. Contact Details:
Mobile No.: Email:
________________________
7. Examination Passed:
Examination Board / Year of Subjects Division
University Passing / (with
Appearing %age)
High School
Intermediate
Graduation
8. Category:
Minority Women SC ST
9. Declaration:
I hereby, solemnly declare that the information given in the form is true to the
best of my knowledge and belief. I undertake to accept and abide by the rules of
Residential Coaching Academy and all the decisions of the admission committee
in regard to my admission. I further declare that I am not involved in any criminal
case and / or no such case is pending against me in any court of law.
HALL TICKET
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Note:
All the particulars must be filled in by the candidate in his/her own hand writing.
Do not attach copies of mark sheets, certificates etc. with this form.