Th.

HAR NARAYAN SINGH DEGREE COLLEGE

Tablet/Smartphone Vitran Yojana-2021
Student Basic Data Form

STUDENT'S NAME :

GENDER :

FATHER'S NAME :

MOTHER'S NAME :

DATE OF BIRTH :

AADHAR NUMBER :

MOBILE :

EMAIL :

PERMANENT ADRESS :

TEHSIL :

DISTRICT :

PINCODE :

NATIVE STATE :

UNIVERSITY NAME : Prof. Rajendra Singh (Rajju Bhaiya) University, Prayagraj

INSTITUTION CODE : 01212
INSTITUTION CODE &
ADDRESS : (01212), Th. Har Narayan Singh Degree College, Karailabagh, Prayagraj-211016
NAME OF COURSE : Higher Education
LEVEL OF COURSE :
(Mark P in your course) ( ) Graduation ( ) Post Gruaduation
COURSE ENROLLED :

CURRENT COURSE YEAR :

(Mark P in your course) 1st Year ( ) 2nd Year ( ) 3rd Year ( )
SUBJECT 1:
SUBJECT 2 :
SUBJECT 3 :
SUBJECT 4 :
SUBJECT 5 :
SUBJECT 6 :
SUBJECT 7 :
SUBJECT 8 :

Document to be attached:- Photocopy of College fee receipt, Last passed out marksheet, Aadhar Card
Note:- Fill your Name, Father's Name, Mother's Name & DOB as per in your Education Record