52

Application form for BCA/BBA/IMB Course
Course Name:
IMB
Application Form No.
100986
Date of Submission
14 January, 2021


Personal Details
Name of Student
52
Father/Husband name
Cambria
Mother name
Makaylah
Date of Birth
28-08-2004
Gender
Male
Reservation Category
WBC
Mobile No.
2704369327
Marital Status
Unmarried
Physically Challenged(PH)
Yes
Aadhar Number
26
Email id
sawtpixelsyn@limedyenicok.site
Permanent Address
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Peptic ulcer, a discontinuity with the gastrointestinal mucosa (stomach ulcer). The generic acne antibiotic is small dose tetracycline. Uncomplicated septic bursitis presenting within a week of infection must be treated which has a 10-14 day course.
Intermediate Details
Name of College
Melia
Board
71
Year of Passing
99
Percentage of Marks
70
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.