SSISM-BEG( Bio-Excellence Group)
Registration form for new batch 2023-2024

*BEG+ Years-3 Program*

 *Diploma in   Year-1 Program*
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First Name*


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Last Name* *
Address*


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Date of Birth* *
MM
/
DD
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YYYY
Email ID* *
Mobile Number* *
Parents Contact Number* *
Select your Area/Track*


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Which Course?* *
Course Name* *
Which Year* *
1. Why do you want to join? *
2. Is getting a job important to you ? If yes then why?*

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3. Are you willing to go outside of the state for Job and Internship ?* *
4. What are you planing to do after graduation  ?* *
Required
5. Why you chousen above option ?
6. Laptop Available? *
Required
Confirmation of Rules and Regulation* *
Submit
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