*
Student Image (PASSPORT SIZE)
Application No
School Name/College Name
Admission Date
*
Student's Surname
Student's Name
*
Father Name
*
Mother Name
*
Father's Occupation
Father's Qualification
Branch
*
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Ahilya Nagar
Airoli sec 19
Airoli sec 4
Airoli sec 7
Airoli sec 8A
GHANSOLI SEC 11
Ghansoli Sec 8
Kalwa
Kamothe Sec 18
Kamothe Sec 7
Kharghar
Kharghar Sec 12
KOPAR KHAIRANE SEC 12
KOPAR KHAIRANE SEC 2
KOPAR KHAIRANE SEC 28
KOPAR KHAIRANE SEC 9
Koperkharne Sec 4
Left
Nerul sec 2
Nerul sec 3
New Panvel sector 19
Parsik nagar
Rabale
Seawood Sec 50
Seawood
Thane anand nagar
Ulwe sec 9
Vashi
Vashi sec 11
Vashi sec 12
VASHI SEC 14
Vashi sec 22
Vashi sec 28
Belt
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WHITE
YELLOW
ORANGE
GREEN
BLUE
MAROON
BROWN
BROWN I
BROWN II
BROWN III
BROWN IV
BROWN BLACK
BLACK
SHODAN
NI DAN
SANDAN
Standard
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1
2
3
4
5
6
7
8
9
10
11
12
First Year
Second Year
Third Year
Div
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A
B
C
D
E
Gender
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Male
Female
Date of Birth
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Adhar card no
Marital Status
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Single
Married
Separated
Divorced
Widowed
Contact No
*
Whatsapp Number
Emergency No
Email id
Height In Cm
Weight In Kg
Blood Group
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O-
O+
A_
A+
B-
B+
AB-
AB+
Reference BY
Address
*
Any Police Record
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Yes
No
Not Given
Upload (PR) File
Any Particular physical Disabilty
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Yes
No
Not Given
Upload Application Form
Previous Experience
Yes
No
Not Given
Previous Exp Upload File
Secondary Branch
*
Select One
Ahilya Nagar
Airoli sec 19
Airoli sec 4
Airoli sec 7
Airoli sec 8A
DEXTRO
GHANSOLI SEC 11
Ghansoli Sec 8
Kalwa
Kamothe Sec 18
Kamothe Sec 7
Kharghar
Kharghar Sec 12
KOPAR KHAIRANE SEC 12
KOPAR KHAIRANE SEC 2
KOPAR KHAIRANE SEC 28
KOPAR KHAIRANE SEC 9
Koperkharne Sec 4
Left
Nerul sec 2
Nerul sec 3
New Panvel sector 19
Parsik nagar
Rabale
Seawood Sec 50
Seawood
Thane anand nagar
Ulwe sec 9
Vashi
Vashi sec 11
Vashi sec 12
VASHI SEC 14
Vashi sec 22
Vashi sec 28
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