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Online Admission Application Form () 2024-25
Students Personal Details
Session : Registration No. :

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Applicants Name : Gender :
Father's Name : Nationality :
Mother's Name : Husbands/Wifes Name : NIL
Marital Status : Is Rural or Urban : NIL
Email ID : NIL Religion/Sect :
Name of Bank : NIL Account No. : NIL
IFSC Code : NIL Branch Name : NIL
Category : Aadhar No. : NIL
Sub Category : Interested in Shia Theology : NIL
Date of Birth : Have you done Inter from Shia Inter College :
Age(as on 01.07.2024) : 0 Years 2 Months 5 Days Guardian Name :
Local Guardian Mobile No. : Guardian Address :
Belonges to Physically
Handicapped / Disabled
: NIL
Address Detail
(a)Local Address
House No.
Street Name/Landmark
State
District
Pin
Mobile No.
(b) Permanent Address
House No.
Street Name/Landmark
State
District
Pin
Railway Station NIL
Police Station NIL
Educational Qualification Details
Examination Passed Exam Type Roll No. Name of Board Full Name of College / District Subjects Year of Passing Division Marks Obtained Total Marks/Aggregate CGPA Percent(%)
Payment Details
Name of Bank Payment Mode Online
SB Collect No. Amount(Rs.)

Students Signature

Guardian Signature

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