Professional Documents
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ADMISSION SOUGHT:
P.G: MBA MCA
U.G: B.E in ( Computer Science Information Science Electronics and Communication
Telecommunication Engineering Electrical and Electronics Engineering BioTechnology )
(PLEASE FILL IN BLOCK LETTERS)
I PERSONAL DATA
Pincode
6. Email
7. Phone No with STD Code
8.a Guardian’s Name
8.b. Local Address
Pincode
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II ACADEMIC RECORDS
1. Institution Course Course Studied Year of Study CLASS &
Attended Attended % of Marks
FROM TO
I
SSLC/HIGH SCHOOL
II
PUC/ICSE/CBSE
III
DEGREE/DIPLOMA
2.c. Other Entrance Exam Details: Register No: Year: Rank No:
Enclosures (CHECKLIST):
1. Copy of SSLC Marks Card
2. Copy of PUC/ICSE/CBSE Marks Card
3. CET/COMEDK Certificate
I hereby declare that the information furnished above is true to the best of my knowledge and belief and that if any
detail is found to be untrue or incorrect, I am liable to forfeit my admission along with all the fees paid.
PLACE:
DATE:
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