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Medicaps Institute of Technology & Management: Registration Form

This registration form collects contact and academic information from a student applying to Medicaps Institute of Technology & Management. It requests the student's name, address, contact details, guardian information, category, course and branch of study. Academic details including school/college attended, year of passing, percentage, and board/university are also collected. Documents required for submission including marksheets and certificates are listed.

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Parthiban Soundarrajan
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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43 views1 page

Medicaps Institute of Technology & Management: Registration Form

This registration form collects contact and academic information from a student applying to Medicaps Institute of Technology & Management. It requests the student's name, address, contact details, guardian information, category, course and branch of study. Academic details including school/college attended, year of passing, percentage, and board/university are also collected. Documents required for submission including marksheets and certificates are listed.

Uploaded by

Parthiban Soundarrajan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Registration Form

Medicaps Institute Of
Technology & Management
A.B. Road,Pigdambar,Indore-453331 Phone:(0731)4020492,2856294,4020492 Fax:2856263

Student Name:

Father's Name:

Mother's Name:

Local Address:

Contact No. :

Permanent Address :

Contact No. :

Guardian Name:

Guardian Adress:

Contact No. :

Category: UR/X Documents Submitted: 10th Class Marksheet (Photocopy)

ST 12th Class Marksheet (Photocopy)

SC Transfer Certificate (Original)

OBC Migration Certificate (Original)

Caste Certificate (Original)

Graduation Certificate (Photocopy)

Gap Certificate (Original)

Course:

Branch:

Academic Details :

School / College Year Of Passing Percentage Board / University

High School

Higher Secondary

Graduation

Post Graduation

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