Scribd Logo
Upload

Welcome to Scribd!

  • 22 views

    Application Form N24BMSG10238

    Uploaded by

    adarshpatil191

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application Form N24BMSG10238

    Uploaded by

    adarshpatil191
    22 views2 pages

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    22 views2 pages

    Application Form N24BMSG10238

    Uploaded by

    adarshpatil191

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    BSC (HONORS) BIOMEDICAL

    SCIENCE APPLICATION
    2024-25
    APPLICATION NO: N24BMSG10238

    Basic Details

    Program Details

    Category Of Admission: GENERAL

    Program : Institute :

    Personal Details

    Name : ADARSH PATIL

    Mobile No. : +91-6360340282 Email : [email protected] Date of Birth : 13/09/2005

    Gender : MALE Category : Nationality : INDIAN

    Blood Group : Aadhar Card No. : 897552027203 Passport Number :

    Country: Place of Issue : Date of Issue :

    How did you come to know about Nitte? :NITTE


    Date of Expiry :
    WEBSITE

    Is the mobile number same as that of the whatsApp


    Whatsapp Number : +91-9666500654
    number? : NO

    Parents Details

    Father's Title: MR. Mother's Title: MRS.

    Father Name : HEM SAGAR PATIL Mother Name :PUSHPA PATIL

    Father's Mobile No : +91-9618116631 Mother's Mobile No : +91-9666500654

    Father's Email Id : [email protected] Mother's Email Id :[email protected]

    Father's Occupation : AGRICULTURE Mother's Occupation : AGRICULTURE

    Is local guardian available? : NO

    Local Guardian Name : Guardian's Mobile :

    Guardian's Address : Guardian's Email :

    Address Details:

    Address for Correspondence Permanent Address

    Address Line 1 2-3 MAMIDGI, NYALKAL, SANGAREDDY, TELANGANA 2-3 MAMIDGI, NYALKAL, SANGAREDDY, TELANGANA

    City Name ZAHEERABAD ZAHEERABAD

    District Name MEDAK MEDAK

    State Name TELANGANA TELANGANA

    Country Name INDIA INDIA

    Pin Code 502249 502249

    Educational Details

    10th Standard Details

    Name of Institution Board/University Year Of Passing Marking Scheme Percentage/CGPA

    COUNCIL OF INDIAN SCHOOL CERTIFICATE EXAMINATION


    SRI SAI PUBLIC SCHOOL 2022 PERCENTAGE 85
    (CISCE/ICSE)
    11th Standard Details

    Name of Institution Board/University Year Of Passing Marking Scheme Percentage/CGPA

    SRI CHAITANYA JUNIOR COLLEGE TELANGANA BOARD OF INTERMEDIATE EDUCATION 2023 PERCENTAGE 97.7

    12th Standard Details

    Name of Institution Board/University Year Of Passing Marking Scheme Percentage/CGPA

    Documents

    Upload Your Signature

    Upload 10th Marksheet YES Upload 11th Marksheet YES

    Upload 12th Marksheet NO Upload 10th Certificate NO

    Upload Your Aadhaar Card YES

    Declaration

    I hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. In case it is
    found that I have concealed, suppressed or distorted any information, my application would be rejected and the application fee
    remitted will not be refunded. I am aware that any dispute arising therein will be subject to the jurisdiction of the courts of the city
    of Mangalore or the Honorable High Court of Karnataka.

    Applicant Name ADARSH PATIL

    Place SANGAREDDY

    Date 24/05/2024 03:25 PM

    You might also like