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Application for Admission in Shivam Education Campus - Year 2024-25

Applicant's Name :

Please enter the applicant's name.

Father's Name :

Mother's Name :

Date of Birth :

Please enter the date of birth.

Mobile :

Please enter a valid mobile number.

Gender :

Religion :

Blood Group :

Cast :

Email :

Present Address :

Permanent Address :

Academic Qualifications

SSC or Equivalent Level*

Examination :

Board Name :

SEAT No :

Result :

GPA

Passing Year :

HSC or Equivalent Level*

Examination :

Board :

SEAT No :

Result :

GPA

Passing Year :

Graduation Level*

Examination

Result

GPA

Subject

Passing Year

University

Course Duration

I hereby declare that all the above information are correct and assure that I will abide by all the rules.