52

Application form for BCA/BBA/IMB Course
Course Name:
IMB
Application Form No.
101161
Date of Submission
23 January, 2021


Personal Details
Name of Student
52
Father/Husband name
Arianny
Mother name
Elsy
Date of Birth
29-09-1999
Gender
Male
Reservation Category
EWS
Mobile No.
2704369327
Marital Status
Married
Physically Challenged(PH)
Yes
Aadhar Number
14
Email id
sawtpixelsyn@limedyenicok.site
Permanent Address
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Intermediate Details
Name of College
Angelie
Board
28
Year of Passing
62
Percentage of Marks
98
Payment Details
Payment Status
UNPAID
Declaration
1. I have filled the application form with full consideration and all the information on this form is true to the best of my knowledge.
2. I promise that I will have good and mannered behavior during the study period.
3. I agree with the rules, instructions, and other policies of the college and in case I don't follow the rules, I may be punished by the college.
4. I will be very much careful about my presence in the classroom. If I don't follow the rules related to the attendance and test examination, I am ready to accept the punishment.