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RAM GIRISH RAI P.G. College`

Application Form


* Mandatory Fields.
Course*
Session*
Stream*
Student Name*
Father/Husband Name*
Mother Name*
Guardian Name*
Postal Address*
Mobile No..*
Permanant Address*
Contact No.*
Sex*
             
Date of Birth*
*Details of Last Passed/Appreared Class By *
* Pass Class
* Pass Status
* College Name
* Board Name
*Ex Year
* Subject
*Marks
*Obt.Mark
*Choose Subject By Student: *
* (1)
(2)
(3)
Reservation*
Handicap*
PH         Minority       Hostal       Bus       Other 
Photo *
(Only .jpg , .gif photo type allowed. And photo size should must be 250 KB. Maximum.)
Signature *
(Only .jpg , .gif scan signature type allowed. And scan signature size should must be 250 KB. Maximum.)
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