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  • Admission Form: For Office Use Only

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    Singh Anuj
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    This document is an admission form for a coaching institute. It collects information such as the candidate's name, date of birth, family details, medium of instruction, subject and optional papers chosen for preparation, address for correspondence, education qualifications, and a declaration agreeing to abide by institute rules. The form is used by the office to allocate a roll number and track details of admitted students.

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    nbcnv

    Original Title

    Dias Format

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    This document is an admission form for a coaching institute. It collects information such as the candidate's name, date of birth, family details, medium of instruction, subject and optional papers chosen for preparation, address for correspondence, education qualifications, and a declaration agreeing to abide by institute rules. The form is used by the office to allocate a roll number and track details of admitted students.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    9 views1 page

    Admission Form: For Office Use Only

    Uploaded by

    Singh Anuj
    This document is an admission form for a coaching institute. It collects information such as the candidate's name, date of birth, family details, medium of instruction, subject and optional papers chosen for preparation, address for correspondence, education qualifications, and a declaration agreeing to abide by institute rules. The form is used by the office to allocate a roll number and track details of admitted students.

    Copyright:

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

    ADMISSION FORM

    FOR OFFICE USE ONLY


    Date of Admission-------------------------------Roll No-------------------------------------------Course-------------------------------------------UPSC Roll No------------------------------------TO BE FILLED IN BY THE CANDIDATE
    1. NAME (IN CAPITAL LETTERS)----------------------------------------------2. DATE OF B IRTH------------------------------------------------------------3. SON/ DAUGHTER/ WIFE OF:-----------------------------------------------4. WHETHER JOINING IN:
    5. MEDIUM:

    CLASS ROOM

    ENGLISH

    HINDI

    6. SUBJECT: A.PRELIMS

    B. MAINS

    1. Optional paper ------------------2. General Studies: Yes/ No

    7. ADDRESS

    CORRESPONDENCE

    1. Optional Paper i. -------------------3. General Studies


    Yes/ No
    2. Optional Paper ii.--------------------4. Essay:
    Yes/No

    A. Permanent:---------------------------------------------------------------------

    ----------------------------------------------------------------------------------------------------Phone:------------------------------------------------------------------------B. Mailing Address:-----------------------------------------------------------------------------------------------------------------------------------------------------------------Phone:-------------------------------------------------------------------------E-mail id:-----------------------------------------------------------------------------------------8. EDUCATIONAL QUALIFICATION


    University/ Board

    Deg/ CERT/ DIP

    DIV/ %

    Year of passing

    DECLARATION BY THE CANDIDATE


    I-------------------------- hereby declare that I shall abide by all the rules and the regulations
    of Dias and maintain discipline of the institute. In case of any misconduct on my part during
    my studies at the institute, the institute shall be free to take suitable action against me.

    Signature of candidate

    Authorized signatory of DIAS

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