34

Application form for BCA Course
Course Name:
BCA
Application Form No.
101379
Date of Submission
21 January, 2021


Personal Details
Name of Student
34
Father/Husband name
Alyah
Mother name
Queen
Date of Birth
16-02-1994
Gender
Female
Reservation Category
GENERAL
Mobile No.
8128465248
Marital Status
Unmarried
Physically Challenged(PH)
Yes
Aadhar Number
62
Email id
arousedsonicqtl@morrisillegal.site
Permanent Address
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Present/Correspondence Address
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Intermediate Details
Name of College
Lissa
Board
89
Year of Passing
55
Percentage of Marks
12
Payment Details
Payment Status
नोट: बैंक स्टेटमेंट से मिलान के दरमयान UTR/Ref. Number गलत पाए जाने पर आवेदन प्रपत्र रद्द कर दिया जायेगा.UNPAID
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.