Vindhya Institute Of Technology and Science

Vindhya Institute of Technology
and Science

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Registration Form

Course Details

Admission Session

Course

Branch

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Personal Detail

First name:

Middle name:

Last name:

Category:

DOB

Gender

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Student Mobile

Adhar Linked Mobile

Adhar No

Child ID

Domicile

Family Detail

Father's Name

Father's Occupation

Father's Anunal Income

Father's Mobile

Mother's Name

Mother's Occupation

Mother's Anunal Income

Mother's Mobile

Educational Detail

10th Roll No.

Education 10th

Stream / Subject Name

School / College Name

Board / University Name

Year

Marks Obtain

Out off

12th

Graduation

Post Grad.

Previous School / College

Entrance Test -

Name

Roll No.

Score

Contact / Address Detail

Country

State

City

PinCode

Land Mark / Calony / village

Complete Address

District

I hereby Declare that the inforamtion provide in this form true to the best of my Knowledge, agree to fully abide by the rules & regulation of the college regarding attendance & discipline. I understand that the admission will be done by Merit and counselling Authority M.P.Govt. & University.

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