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MLU DAV COLLEGE PHAGWARA
Application Form

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APPLICATION FORM
1. Name :
2. Father's Name :
3. Mother's Name :
4. Permanent Address :
5. Correspondence Address :
    Telephone No. :
6. Date of Birth :

  
        7. Previous Academic Record:

YEAR

CLASS

INSTITUTION

% AGE

UNIVERSITY/BOARD

1998
1999
2000
2001



8. Co-Academic Activities last year ( tick only )

    Sports    if yes, mention game  
               
Y  N

NCC  NSS Youth Welfare Others
        

9. Martial Status
                        
M UM
10. Sex
           
M F  
11. Nationality
                      
I  F

12. Fee concession last year
                                         
Y N
If yes, Specify the concession


13. Elective subjects to be taken

1. English 2. Pbi./Pb. Hist.Cult 3.
4. 5. 6.


14. Last Year College record ( If applicable )

Roll No               Class 
Section  %age of marks 


Date :

Place : 

  

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