52

Application form for BCA/BBA/IMB Course

Course Name: IMB
Application Form No. 100277
Date of Submission 26 October, 2020

Personal Details

Name of Student 52
Father/Husband name Taelyn
Mother name Hayleigh
Date of Birth 07-05-1986
Gender Male
Reservation Category ST
Mobile No. 2704369327
Marital Status Married
Physically Challenged(PH) Yes
Aadhar Number 46
Email id sawtpixelsyn@limedyenicok.site
Permanent Address


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    Intermediate Details

    Name of College Alexandrea
    Board 61
    Year of Passing 84
    Percentage of Marks 58

    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.