99

Application form for BCA Course

Course Name: BCA
Application Form No. 101476
Date of Submission 22 April, 2021

Personal Details

Name of Student 99
Father/Husband name Aniyah
Mother name Lorrie
Date of Birth 23-02-1986
Gender Male
Reservation Category EWS
Mobile No. 3364739968
Marital Status Married
Physically Challenged(PH) Yes
Aadhar Number 70
Email id vigilanthotshotroj@purpledyecupcake.site
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Intermediate Details

Name of College Sirena
Board 34
Year of Passing 59
Percentage of Marks 92

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.