Student's Name, Father's Name, Mother's Name and Date of Birth should be as per

Matriculation Certificate.

CLASS ______________________
COLLEGE NAME ______________________
COLLEGE ROLL NO. _______________________
REGISTRATION NO. ______________________
NAME ______________________
FATHER NAME ______________________
MOTHER NAME ______________________
DATE OF BIRTH ______________________
CASTE ______________________
RELIGION ______________________
MARITAL STATUS ______________________
ADHAAR NO ______________________
ADDRESS ______________________
______________________
MOBILE NO ______________________
EMAIL ID ______________________

SUBJECTS OFFERED (ONLY FOR B.A CANDIDATES)

1.________________ 2. ______________ 3. _______________ 4. ______________

PHOTO SIGNATURE

PHOTO SIGN THUMB (LEFT FOR GIRLS

AND RIGHT FOR BOYS)

PASSWORD:__________________________