STUDENT PERSONAL DATA

Batch : (2018- 2022)

Student Name :
Register Number : Passport Size
Date of Birth : Photo
Father Name :
Mother Name :
Student Contact Number :
Parent Contact Number :
Sate :
Mother tongue :
Languages known :
Student E-mail id :
Alternate E-mail id :
PAN Number :
Aathar Number :
Passport Number :
Religion :
Cast :
Community : OC/BC/MBC/SC/ST/Others Specify
10 % :
12% :
Diploma% :
Current CGPA :
History of Arrears :
Hostel : YES/NO
Room No :
Dayscholar : Yes/No
Mode of Transport : College Bus/Private/Bus No:
Staying Outside : Yes/No
Present Address :

The above furnished details are true

Signature of the Student with date