VIDHYA SHEKHAR EDUCATION TRUST (R)

VIDHYA SHEKHAR INSTITUTION OF MANAGEMENT STUDIES

APPLICATION FORM – ACADEMIC YEAR

Program Details
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Personal Details
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Full Name (as per SSLC)
Date of Birth
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Nationality
Aadhaar No
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Religion
Category
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Physically Challenged
Mobile No
Email ID
Parents Details
Father Name
Mother Name
Father Occupation
Mother Occupation
Annual Family Income
PAN No
Aadhaar No
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Permanent Address
City
State
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Pincode
Correspondence Address
Father Mobile
Mother Mobile
Father Email
Mother Email
Guardian Details
Guardian Name
Address
Mobile No
Email ID
Academic Qualification
ExaminationInstitution / BoardCourseYearSubjectsMarks%
SSLC / X
PUC / XII
Degree
Any Other
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Declaration
I hereby declare that the above information is true and correct.
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