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RAMANAND BIRBAL PATEL MAHAVIDYALYA
SARAY SULTAN, BAHERIYA, PRAYAGRAJ - 212109
Admission Form - 2025-26
Student Details
Reference No.
Referred By
Course
Select
B.Sc
B.A
B.Com
Student Name
Email
Aadhar No
ABC ID
Mobile
Date of Birth
Religion
Select
Hindu
Muslim
Sikh
Christian
Sub-Caste
Blood Group
Select
A+
A-
B+
B-
O+
O-
AB+
AB-
Gender
Select
Male
Female
Other
If Other
Category
General
OBC
SC
ST
Address Details
Current Address
City
State
Select
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Lakshadweep
Puducherry
Ladakh
Jammu and Kashmir
Pincode
Same as Current Address
Permanent Address
City
State
Pincode
Family Details
Father's Name
Occupation
Mobile
Mother's Name
Occupation
Mobile
🎓 Qualification Details
Class 10th
Board
Year
Roll No
Division
Subject
Obtained
Total
%
Class 12th
Board
Year
Roll No
Division
Subject
Obtained
Total
%
Undergraduate (UG)
University
Year
Roll No
Division
Subject
Obtained
Total
%
Postgraduate (PG)
University
Year
Roll No
Division
Subject
Obtained
Total
%
Upload Documents
Photo
Signature
Aadhar Card
Highschool
Intermediate
Other Document
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