99

Application form for BCA Course

Course Name: BCA
Application Form No. 100132
Date of Submission 14 January, 2021

Personal Details

Name of Student 99
Father/Husband name Kinley
Mother name Atiana
Date of Birth 09-04-1985
Gender Male
Reservation Category GENERAL
Mobile No. 3364739968
Marital Status Married
Physically Challenged(PH) Yes
Aadhar Number 48
Email id vigilanthotshotroj@purpledyecupcake.site
Permanent Address


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    Intermediate Details

    Name of College Kerri
    Board 65
    Year of Passing 14
    Percentage of Marks 27

    Payment Details

    Payment Status

    UNPAID

    Declaration

    1. I have filled the application form with full consideration and all the information on this form is true to the best of my knowledge.
    2. I promise that I will have good and mannered behavior during the study period.
    3. I agree with the rules, instructions, and other policies of the college and in case I don't follow the rules, I may be punished by the college.
    4. I will be very much careful about my presence in the classroom. If I don't follow the rules related to the attendance and test examination, I am ready to accept the punishment.