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ZAHIR FOUNDATION in Association with WESTLINE DEGREE COLLEGE Application Form
(Present Facility for both Boys and Girls)
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Personal Details
Candidate's Name
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Your answer
Father's Name
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Your answer
Which State do you belong to?
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Your answer
Father's Occupation
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Your answer
Family Annual Income
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Your answer
Which religion do you belong to ?
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Your answer
Caste ?
Your answer
Which category do you belong to: SC/ST/OBC/ minority ?
Your answer
Vegetarian or Non-vegetarian ?
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Your answer
Date of Birth
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Email ID
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Your answer
Mobile No
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Your answer
Contact Details
Current Address
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Permanent Address
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Educational Details
10th STD Year of Passing ?
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Your answer
Name of School
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Your answer
Board (CBSE, ICSE, STATE) ?
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Your answer
Medium of Study ?
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Your answer
10th Exam Marks - Subject / Max Marks / Marks Scored / Percentage ? (Also send marks card copy attached to:
scholarimtiyaz@gmail.com
ID)
Your answer
12th STD / PUC Year of Passing ?
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Your answer
Name of Institution ?
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Your answer
Institution Affiliated to ? Board (CBSE, ICSE, STATE) ?
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Your answer
Medium of Study ?
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Your answer
12th / PUC Exam Marks - Subject / Max Marks / Marks Scored / Percentage ? (Also send marks card copy attached to:
scholarimtiyaz@gmail.com
email ID, If you have not received marks card, please send it as soon as you get it to given email ID)
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Your answer
Languages:
Speak
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Read
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Write
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Other Details
This is a 3 years full time serious residential program along with your graduation. You should be ready to dedicate more than 12 hours for study everyday and put full effort to achieve your goal. And let us know why you want to be part of this program ?
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Do you have any other skill like Writing, Speaking, Debating, Computer etc ? Please give more details on your additional skills, hobbies etc.
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Have you attended coaching for any kind of competitive exams like JEE / NEET / CLAT / CA etc ? Please give complete details.
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Did you appear for JEE 1 ? What is your Score ?
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Do you have BPL / APL Card ? Please give Card Details.
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