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  • Student Information Form: Paste Your Photograph Here

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    Nirlep Joshi
    21 views2 pages
    This document is a student information form collecting details about a student such as their name, date of birth, blood group, address, contact information, education details, and signature of the student and parents. It collects basic identity and background information for enrollment purposes.

    Original Description:

    form

    Original Title

    Student Information Form

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    This document is a student information form collecting details about a student such as their name, date of birth, blood group, address, contact information, education details, and signature of the student and parents. It collects basic identity and background information for enrollment purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    21 views2 pages

    Student Information Form: Paste Your Photograph Here

    Uploaded by

    Nirlep Joshi
    This document is a student information form collecting details about a student such as their name, date of birth, blood group, address, contact information, education details, and signature of the student and parents. It collects basic identity and background information for enrollment purposes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    STUDENT INFORMATION FORM

    DUMMY ROLL NO: __________

    DEPARTMENT: __________________

    ENROLLMENT NO: ______________________


    NAME: _______________________________________________________________
    (AS PER 10TH MARKSHEET)
    FATHERS NAME: ______________________________________________________
    MOTHERS NAME: _____________________________________________________

    PASTE YOUR
    PHOTOGRAPH
    HERE

    DATE OF BIRTH: _________________

    BLOOD GROUP: _______

    PERMANENT ADDRESS:

    POSTAL ADDRESS:

    ________________________________________

    ________________________________________

    ________________________________________

    ________________________________________

    ________________________________________

    ________________________________________

    ________________________________________

    ________________________________________

    PIN CODE: _______________

    PIN CODE: _________________

    PHONE NUMBER: ______________________ (PARENT) ____________________ (STUDENT)


    ______________________ (HOME)
    E-MAIL ID: _____________________________________________________________
    RELIGION: _____________

    CASTE: ______________________ (OPEN/SC/ST/OBC)

    10TH PERCENTAGE: ___________________ BOARD: ___________________________


    12TH PERCENTAGE: ___________________ BOARD: ___________________________
    SPECIAL INTEREST/ACHIEVEMENTS:
    ______________________________________________________________________
    ______________________________________________________________________

    SIGNATURE OF STUDENT: _________________________________________________

    SIGNATURE OF PARENTS: _________________________________________________

    DATE: _________________

    RECEIVED BY: _________________________

    STUDENT INFORMATION FORM


    SR.
    NO.

    SEMESTER

    DETAIN
    (Y/N)

    SPI

    CPI

    BACKLOG

    NOTE: _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________
    _____________________________________________________________________________

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