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BNM Institute of Technology
CSE REGISTRATION FORM
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Name:
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Date of Birth:
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MM
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DD
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YYYY
Gender:
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Male
Female
Program:
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UG
PG
Branch:
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AI & ML
CSE
ECE
EEE
ISE
ME
USN:
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Semester
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1st
2nd
3rd
4th
5th
6th
7th
8th
Section:
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A
B
Fees paid for the academic year 2021
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No
Mobile Number:
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E-mail ID:
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Admission Quota:
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CET
COMEDK
Management
Any other (Mention):
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Rank:
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PUC/10+2/Degree Details
Name of the College:
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Marks Obtained in percentage:
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Blood Group:
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A+
A-
B+
B-
AB+
AB-
O+
O-
Hobbies & Interests:
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Local Residential Address of the student:
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Details of Parents & Local Guardian
Father
Name:
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Occupation:(Give Designation & office in which employed)
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Office Address:
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Mobile Number:
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Email ID:
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Mother
Name:
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Occupation (Give Designation & office in which employed
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Office Address:
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Mobile Number:
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Email ID:
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Local Guardian
(For outside Bangalore Students only)
Name:
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Occupation: (Give Designation & office in which employed)
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Office Address:
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Mobile Number:
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Email ID:
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Residential Address of the parents:
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Residential Address of the Local Guardian:
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Aggregate of all the previous semester results:
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Backlog with subject code:
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