M.G.R.

COLLEGE
HOSUR 635109


PERSONAL DETAILS

1. Name :
2. Date of Birth : Gender :
3. Marital Status : Blood Group :
4. Mother Tongue :
5. Caste and Community :
6. Fathers Name : Fathers Occupation :
7. Mothers Name : Mothers Occupation :
8. Address for Communication :



9. Contact No. : Contact No. of Parent :
10. Email ID :

ACADEMIC DETAILS

11. SSLC
Marks : / % of Marks :
School: Year of Passing :

12. HSC/+2
Marks : / % of Marks :
School: Year of Passing :

13. Degree: Year of Admission:

Semester I

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Semester II

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Semester III

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Semester IV

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Semester V

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Semester VI

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% of Marks : Class : Year of Passing :


Signature of the Student