Devendra PG College

Registration Form

Apply for Class

Gender :

Registration No. :

Registratio Date:

Student Photograph

Date of Birth :

Name of Student:

Name in Hindi

Father's Name :

Type in Hindi :

Qualification :

Occupation :

Mother's Name :

Type in Hindi :

Qualification :

Occupation :

Local Parent Name

APLBPL

Permanent Address

Type in Hindi

Permanent City :

Select Subjects for Study

Select Waitage
NSS 240 hour work
NSS 240 H W AND 1 CAMP
NSS 240 H W AND 2 CAMP
FREDOM FIGHTER
PHYSICALY HADICAPT
IN KASMEER VISTHAPIT
RESIONAL PLAYER
STATE LEVEL PLAYER
MANDAL PLAYER
NCC A
NCC B
NCC C
SCOUT- DROVPAD/SECOND /THIRD SOPAN
RAJPAL PURSKAR
RASTRAPATI PURSKAR
FEMALE
STAFF

Permanent State

Sub 1:

Pin Code

Sub 2:

Permanent Phone No.:

Sub 3:

Permanent Mobile No. :

Local Address

in Hindi

Local City

Local State

Pin Code

Local Phone No.

Local Mobile

Educational Detail

Qualification	INSTITUTE / SCHOOL/COLLGE	EXAMINATION BOARD	Passing Year	Subject	Obtain Marks	Total Marks	Percentage (%)	Certificate No.
High School
Intermediate
Graduation 1yr
/2nd Year
Final Year
PG 1 year