NUCLEAR PHYSICS

RAMBALK CHOAK HAJIPUR, MOB: - 9798548361

ADMISSION FROM

STUDENT NAME: -
FATHER NAME: -
MOTHER NAME:- PASTE
D D M M Y Y Y Y D.O.B: YOUR
PHOTO

QUALIFICATION: -
SL# EXAM PASSED BOARD/UNV Y.O.P DIVISION %AGE

PROFESSIONAL QUALIFICATION:-

PERSONAL DETAILS:-
GENDER
MARRITAL STATUS
NATIONALITY
RELIGION
MOB:- MOB:-
PERMANENT ADDRESS
VILL
POST PIN CODE
DIST P.S
STATE STATE CODE

DECLARATION
I DECLARE THAT THE ABOVE INFROMATION IS GIVIEN IS TRUE AND CORRECT IN BEST OF
MY KNOWLEDGE.

DATE: - SIGN ABOVE