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Student Profile Form

This document is a student personal information form for the Department of Management Studies. It collects contact details of the student including name, date of birth, addresses, phone numbers, and emergency contact. It also collects academic and family details of the student such as category, guardian information, and place of residence. The student and parents must sign declaring the information is accurate and agreeing to update the institute regarding any changes.

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Nikhil Bhalerao
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424 views1 page

Student Profile Form

This document is a student personal information form for the Department of Management Studies. It collects contact details of the student including name, date of birth, addresses, phone numbers, and emergency contact. It also collects academic and family details of the student such as category, guardian information, and place of residence. The student and parents must sign declaring the information is accurate and agreeing to update the institute regarding any changes.

Uploaded by

Nikhil Bhalerao
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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______________________________________________________ _______ Roll No.

_______

Department of Management Studies


Students Personal Information Form
1. Students Personal Information

*Section 1: To be completed by the student.

Full Name: ...................................................................................................................................................


Date of birth: ..................................... Birth Place:.................................................Blood Group:..............

Local Address:.............................................................................................................................................
...

Tal:..............................Dist:.........................Pin:......................................
Permanent Address:......................................................................................................................................
Tal:..............................Dist:.........................Pin:...............................

Adhar Card No: .............................................................................. Marital status:.....................................

Mobile number: ...................................................Email_Id:.........................................................................

Category:.........................................Caste:....................................Sub-Caste:.............................................
Hobbies & Interest: .....................................................................................................................................

... ....................................................................................................................................................................
2. In Case of Emergency,Please Call:

Name: ....... ................................................................. Relationship to student: ..............................................

Home phone: ............................................................. Mobile phone:...............................................................


3 Academic
3.Guardians Personal Information:

Father's Name: ......................................................................................................... Age:...............................


Mobile No. : ............. .......................................... Email_Id....................................................................

Residence No. : .................................... Place of Work: ................................... Office No.: ...............................

Mother's Name: ............................................ Mothers Age:.............................. Mobile: ..................................


Place of Students residence:

with Parents

with father

with mother

Other, please specify: ...................................................................................


DECLARATION: We hereby declare that the information provided in this sheet is correct and valid to the best of our knowledge. We promise that if there
is any change in the above information, i.e., change in address/contact No./ E-mail ID, etc., it will be our responsibility to inform the
institute. If we do not inform the institute regarding change in information, then whatever financial or academic loss or any other loss
may occur, we and only we will be held responsible for the same. In any case, institute will not be held responsible for the same.

Signature of Parents: _________________


Date: _________________
Place: _________________

Signature of Student: _____________________


Date: _________________
Place: _________________
KKWIEER,Nashik

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