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Monady 10-11-2016

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Applicant No.

Instructions for the Applicant:

1. Candidate are advised to fill from completely.
2. You can seek clarification from counselors in case of any doubt.
3. Fee once deposited (after admission is granted) is neither refundable nor adjustable.

COLLEGES : Indicate Choice of College (Institution) using Tick Mark e.g.
B K Institute of Technology & Management
B K Degree College
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B K (Pvt.) ITI
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COURSES : Indicate Choice of Course(s) using Tick Mark e.g
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Plytechnic / Diploma
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Plytechnic / Diploma
Mechanical Engineering (Prod)
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Electronics Engineering
Computer Science Engineering
Chemical Engineering
B.Tech
Mechanical Engineering
Civil Engineering
Electrical Engineering
Electronics & Communication Engineering
Computer Science & Engineering
M.Tech
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Electrical Engineering
Electronics & Communication Engineering
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M.B.A.    Mkt.    HR    IT    Fin
Degrees
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B.COM    MA    BA    MSC    M.COM
BSC
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BA
Hindi    English    Eco   Polytical Science  
History    Home Science    Education   Geo  
MA
Hindi    English    Eco   Polytical Science  
History    Home Science    Education   Geo  
MSC
Physics    Chemistery    Math   Zoology   Botny   
ITI
Fiter
Electrician
Personal Data : Furnish Personal Data in Capitals - or indicate through tick mark wherever applicable :
Name Of student :
Name Of the Father / Guardian :
Name Of the Mother :
Correspondense Address:
City  
State  
Tel. & Mobile No. (Parents)  
E-mail ID (Parents)  
E-mail ID (Student)  
Permanent Address:
City  
State  
Tel. & Mobile No. (Parents)  
E-mail ID (Parents)  
E-mail ID (Student)  
Date Of Birth:  DD MM YYYY
Gender: Male Female
Hostel Needed: Yes No
Category:  GEN SC ST OBC PHY.HND Other (Specify)
Bus Facility Needed: Yes No
ACADEMIC QUALIFICATION :
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