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Student Data Form

Students are required to fill out personal information such as name, contact details, program details, admission details, academic performance, and fees paid in a provided form and email the completed form as an attachment. The form collects information across multiple categories to gather student records.

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fedrick1989
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
39 views4 pages

Student Data Form

Students are required to fill out personal information such as name, contact details, program details, admission details, academic performance, and fees paid in a provided form and email the completed form as an attachment. The form collects information across multiple categories to gather student records.

Uploaded by

fedrick1989
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 XLS, PDF, TXT or read online on Scribd
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Students are required to fill up the relevant data in Column B and to send this file as an Email attac

Title (Mr. /Miss/ Ms., etc.)

First Name

Middle Name

Surname / Family Name

Mother's Name

Father's Name

Res. Phone (landline)

Mobile Number

Gender (Male / Female)

Date of Birth (DD / MM / YYYY)

Program ENGINEERING & TECHNOLOGY

Course ELECTRONICS & COMMUNICATION ENGG

Level UNDERGRADUATE

Date of Joining (DD/MM/YYYY)

Admitted to B. TECH.

Roll Number

Email Address

Religion (Hindu / Muslim / Christian / Sikh /


Buddhist / Jain / other
Caste (Open / SC / ST / OBC / SBC / VJ /
NT-DT / Other)

Reserve Category (Y / N)

Is Physically Handicapped (Y / N)

Econ Backward (Y / N)

Home / Hostel?
Institute Fees Paid (Y / N)

Hostel Fees/Month

Year1 (% marks)

Year2 (% marks)

Year3 (% marks)

Year4 (% marks)

Year5 (% marks)
file as an Email attachment.

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