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  • Student Information Form

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    siva ganesh Malla
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    This document is a student information form for the 2021-2022 academic year. It requests personal details about the student such as name, gender, parents' names, date of birth, contact information, program of study, blood group, caste/religion, and identification numbers. The student and head of department/dean must provide signatures at the bottom of the form.

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    Student form

    Original Title

    Student information form

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    This document is a student information form for the 2021-2022 academic year. It requests personal details about the student such as name, gender, parents' names, date of birth, contact information, program of study, blood group, caste/religion, and identification numbers. The student and head of department/dean must provide signatures at the bottom of the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views1 page

    Student Information Form

    Uploaded by

    siva ganesh Malla
    This document is a student information form for the 2021-2022 academic year. It requests personal details about the student such as name, gender, parents' names, date of birth, contact information, program of study, blood group, caste/religion, and identification numbers. The student and head of department/dean must provide signatures at the bottom of the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    STUDENT INFO RMA TIO N FORM 202 1 -20

    22
    (Please write neat ly in BLO CK let ters)

    I
    1. NAM E :... ...... ...... ..... ......... ......................... .................... ...... ....
    Affix your latest
    2 . GENDER
    ···· ········· ········ ········································ ···· ······•········· photo (Unif orm /
    ····
    3. FATHER NAM E Form al Dress
    ....... ... ..... ................... ... ... ...... ... ............ ................

    J
    .. ..... . Cod e)
    4. MOT HER NAM E

    5 . FATHER OCC UPAT ION

    6. PRO GRA MME

    7. BATCH

    8. ROLL NUM BER

    9. REG .NUM BER

    10 DOB {DD/ MM/ YYY Y)

    11.C OMM UNIC ATIO N ADDRESS

    12. E-MA IL ID
    ······· ························· ················ ························· ······
    ··· ···
    13. STUDENT MOB ILE NUM BER
    ···· ························································•·················
    ·······
    14. PARENT MOB ILE NUM BER
    ········· ·······" ············· ······ ············ ················· ···· ········
    ·······
    15 . BLOOD GRO UP
    ·········· ········· ············......... ................ ........................
    .....
    16. CATE GORY & CASTE/ RELIGION
    ······· ········· ·········································· ·................
    ........ ..
    17. AADHAAR NUM BER
    ·········· ········· ························--· ········· ······ ········ ····
    ·······•· o0•

    SIGNATURE OF HOD /DEA N


    SIGN ATUR E OF THE STUD ENT

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