34

Application form for BCA Course

Course Name: BCA
Application Form No. 100731
Date of Submission 17 November, 2020

Personal Details

Name of Student 34
Father/Husband name Jayleen
Mother name Rebekah
Date of Birth 12-08-1984
Gender Female
Reservation Category EWS
Mobile No. 8128465248
Marital Status Married
Physically Challenged(PH) Yes
Aadhar Number 85
Email id arousedsonicqtl@morrisillegal.site
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Intermediate Details

Name of College Lori
Board 79
Year of Passing 94
Percentage of Marks 27

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.