99

Application form for BCA Course
Course Name:
BCA
Application Form No.
100727
Date of Submission
21 February, 2021


Personal Details
Name of Student
99
Father/Husband name
Patience
Mother name
Stacie
Date of Birth
03-07-1997
Gender
Male
Reservation Category
SC
Mobile No.
3364739968
Marital Status
Unmarried
Physically Challenged(PH)
Yes
Aadhar Number
89
Email id
vigilanthotshotroj@purpledyecupcake.site
Permanent Address
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Intermediate Details
Name of College
Olivia
Board
32
Year of Passing
91
Percentage of Marks
52
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.