Form No. :

Date :

Exam :

Board : Select Board GSEB Other

Total Marks :

Total Marks Obtained :

Percentage :

Year of Passing(YYYY) :

Category :

Attempt :

Subject Group : Select CPZ CPB MCB

Student Image (only .jpg .png .jpeg file Allowed) (max Size:15KB) :

Admission in F.Y.B.Sc. (Sem. –I) Year :

Full Name :(Surname Name Father's Name)

Date of Birth :

Birth Place :

Taluka :

District :

Nationality :

Religion :

Caste :

Category : Select General OBC SC/ST

Card No./Creamy Layer No. :

Mobile No :

Permanent Address :

Profession of Father/Guardian & Office Address :

Father Mobile No :

Mother’s Name :

Profession :

Blood Group :

Email :

Prefer to join (Any ONE is Compulsory in the First Year) : Select NCC NSS Sports

Interest :

Local Address of Candidate :

Annual Income of Parents :

Aadhar No. :

Select Any One Group of the following Subjects :

Group-I (CPZ)
Chemistry (Core)
Physics (Elective)
Zoology(Elective)

Group-II (CPB)
Chemistry (Core)
Physics (Elective)
Botany (Elective)

Group-III(MCB)
Microbiology (Core)
Chemistry(Elective)
Botany (Elective)

Place :

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