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I.T.

Computer Solution CPCT Classes


Add: G-15 Rama Govind Palace, Sirmour Chowk Rewa
(M.P.)-486001

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ADMISSION FORM

Name:-

Father's name:

Mother name:-

Date of Birth:. ……………………………………………………………………………………………………………………

Father's Qualification ……………………………………………………………………………………………………………

Father's Occupation:. ……………………………………………………………………………………………………………

…………………………………………………………………….
Mother's Qualification:. ………………………………………………………………………………………………………...

Mother's Occupation:. …………………………………………………………………………………………………………..

Blood Group:. ……………………………………………………………………………………………………………………

Sex/Gender:. ………................................. Religion:. …………………………………….Cat…………………………………

Address : …….………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………..

Addhar No.: …..……………………………………….. Mob No. :……………………………………………………………

Stu. Qualification:. ………………………………………………….. Course /Class:. ………………………………………

10th %..................................................12th%..............................................Graduation%.............................................................

Valid from:. …………………………………………………. Valid to. ……………………………………………………..…

Batch Time:. ………………………………………………… to ………………………………………………………………

Fees Date.1……………………… 2………………………………. 3…………………………4. ……………………………..

Date:. ……………….

Place: ………………….
Signature Director
Student Signature

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