UG Registration For 2012

Student Name  
DOB
Gender
Religion
Community
Mother Tongue  
Address for Communication  
State  
Country  
Pincode    
Mobile No      
Landline No  
E-Mail ID      
Name of the Parent/Guardian  
Relationship with the Student  
Parent's/Guardian's Occupation  
Contact number of the Parent/Guardian    
SSLC Total Marks      
SSLC Percentage    
HSC Register No    
HSC schoolName & Address  
HSC Board  
HSC Total Marks    
Qualifying Examination (HSC)
 
           
Chemistry/200 Maths/200 Physics/200
Month & Year of passing/passed in HSC
Medium of Instruction HSC
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1st Option 2nd Option 3rd Option
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