Chopasni Mahavidhyalaya

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Course & Form Details

Form No.

Medium

Course *

B.A. B.Sc.

Personal Details

Name of Student (In Capital Letter) *

Name of Student (In Hindi)

Date of Birth *

Gender

Male Female

Father's Name (In Capital Letter) *

Father's Name (In Hindi)

Mother's Name (In Capital Letter)

Mother's Name (In Hindi)

Father's Occupation

Family Income (Annual)

Contact Details

Tel No. (Res.)

Mobile No. (Self) *

Mobile No. (Parents)

Email Id

Aadhar No.

Jan Aadhar (Parivar Pahachan No.)

Bhamashah No.

Blood Group

Category Details

Address

Permanent Address

District

State

Pin Code

Local Address

District

State

Pin Code

Subject Offered

Compulsory (Hindi / English)

Optional Subject (1)

Optional Subject (2)

Optional Subject (3)

Fee Detail

R. No.

Amount

Date

Academic Qualification

S.No.	Name of Examination	Board / University	Science / Arts	Subject (Optional)	Year	Marks	Division	% & CGPA	Remarks
1
2
3
4
5

Extra-Curricular Activities

Library Card Details

Enrollment No. in Library

Class

Online Admission Form