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Name of Applicant:
Father's Name:
Mother's Name:
Date Of Birth
Place Of Birth
Gender: MaleFemaleOthers
Category : OpenSCSTOBCNTOthersPhysically Challenged
Email Id:
Phone No:
Mobile No:
Alternate Mobile Number:
Aadhar Card Number:
Father/Guardian's Name
Father/Guardian's Occupation
Father/Guardian's Contact No.:
Annual Family Income
Permanent Address
Country
State
City
Pincode
Correspondence Address Same as Permanent Address YesNo
Correspondence Address
Eligibility:- Minimum 45% (40% for Reserved Category) in H.S.C Examination of Maharashtra State Board of Secondary and Higher Secondary Education or other equivalent Examination.
10th Board Exam:
12th Board Exam:
Any Other Qualification:
College Name:
Course Name:
College Address:
Parent's Signature
Student's Signature
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I hereby declare that the above information is true and complete to the best to my knowledge and I won't cancel my admission in the above mentioned course and will pay full amount of course fees for all the 3 years.
Students are requested to kindly note that apart from the FRA approved fees additional fees would be charged for examinations, training and other charges extra.
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