Government Polytechnic Gopamau

Admission Form

NAME OF BRANCH :

SEMESTER / YEAR :

NAME OF STUDENT :

FATHER'S NAME :

DATE OF BIRTH :

GENDER :

Male Female Other

MOTHER'S NAME :

CATEGORY :

CASTE :

SUB CATEGORY :

BLOOD GROUP :

JEECUP ROLL NO :

AADHAR CARD NO :

DRIVING LICENCE NO :

ANTI RAGGING REG. NO :

MEDICAL FITNESS CERTIFICATE NO :

CASTE CERTIFICATE NO :

T.C. SERIAL NO :

APPLIED FOR HOSTEL :

Permanent Address

BLOCK :

DISTRICT :

STATE:

PINCODE :

Correspondence Address

BLOCK :

DISTRICT :

STATE :

PINCODE :

MOBILE No :

E-Mail ID :

Education Details

HIGH SCHOOL

BOARD / UNIVERSITY :

PASSING YEAR :

ROLL NO :

MAX MARKS :

% MARKS :

INTERNATIONAL

BOARD / UNIVERSITY :

PASSING YEAR :

ROLL NO :

MAX MARKS :

% MARKS :

GRADUATION

BOARD / UNIVERSITY :

PASSING YEAR :

ROLL NO :

MAX MARKS :

% MARKS :

JEECUP FEE DETAILS

TRANSACTION NO :

DATE :

AMOUNT :

INSTITUTE FEE DETAILS

TRANSACTION NO :

DATE :

AMOUNT :

Discipline is the framework of rules, consequences, and behavioral strategies essential for maintaining order and ensuring a productive learning environment. Its goal is to guide students' actions and behavior

Admission Form

Permanent Address

Correspondence Address

Education Details

HIGH SCHOOL

INTERNATIONAL

GRADUATION

JEECUP FEE DETAILS

INSTITUTE FEE DETAILS

Discipline is the framework of rules, consequences, and behavioral strategies essential for maintaining order and ensuring a productive learning environment. Its goal is to guide students' actions and behavior

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