Registration Form

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Registration Form

Online Application - Maharani Polytechnic College

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* Indicates required question

Student Name *

Your answer

Fathers Name *

Your answer

Mobile *

Your answer

Address *

Your answer

School Studied *

Your answer

Place of the School *

Your answer

Course Completed *

Choose

Tenth

Twelth

Department to join *

Computer

ECE

EEE

Automobile

Mechanical

Civil

Reference Person Name *

Your answer

Amount paid *

Your answer

Date *

MM

/

DD

/

YYYY

Staff Signature *

Your answer

Submit

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