34

Application form for BCA Course

Course Name: BCA
Application Form No. 100117
Date of Submission 11 September, 2020

Personal Details

Name of Student 34
Father/Husband name Treasure
Mother name Star
Date of Birth 25-03-1995
Gender Female
Reservation Category GENERAL
Mobile No. 8128465248
Marital Status Unmarried
Physically Challenged(PH) Yes
Aadhar Number 50
Email id arousedsonicqtl@morrisillegal.site
Permanent Address


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    Intermediate Details

    Name of College Jaquelin
    Board 17
    Year of Passing 63
    Percentage of Marks 39

    Payment Details

    Payment Status

    UNPAID

    नोट: बैंक स्टेटमेंट से मिलान के दरमयान UTR/Ref. Number गलत पाए जाने पर आवेदन प्रपत्र रद्द कर दिया जायेगा.

    Declaration

    1. I have filled the application form with full consideration and all the information on this form is true to the best of my knowledge.
    2. I promise that I will have good and mannered behavior during the study period.
    3. I agree with the rules, instructions, and other policies of the college and in case I don't follow the rules, I may be punished by the college.
    4. I will be very much careful about my presence in the classroom. If I don't follow the rules related to the attendance and test examination, I am ready to accept the punishment.