CAREER COLLEGE OF MANAGEMENT & EDUCATION

Admission Form

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Personal Details

Please provide mandatory personal details

Student Name *

Mother Name *

Father Name *

Date of Birth *

Gender *

Category *

Sub Category *

Nationality *

Educational Details

Please give your educational details

10th or Equivalent

Board *

Year *

Marksheet No

Roll No *

Total Marks *

Obtained Marks *

Marks Per(%) *

Intermediate 12th or Equivalent

Board *

Year *

Marksheet No

Roll No *

Total Marks *

Obtained Marks *

Marks Per(%) *

Graduation

University Name *

Year *

Marksheet No

Roll No *

Total Marks *

Obtained Marks *

Marks Per(%) *

Communication / Correspondence Details

Please provide mandatory communication / correspondence details

Address *

District *

State *

PIN Code *

Email ID *

Form Date *

Admission Form

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