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Excellent Academy
Excellent PU Science College, Vijayapur (Bijapur)
Ist PUC Admission Application Form
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* Indicates required question
Bank Account Details
Name of the Student (In Capital Letters)
*
Your answer
Gender
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Name of the Father
*
Your answer
Father Occupation
*
Your answer
Name of the Mother
*
Your answer
Mother Occupation
*
Your answer
Name of the School last studied
*
Your answer
Medium
*
Kannada
English
Type of the School
*
State
CBSE
ICSE
SSLC Hall Ticket Number
Your answer
% in SSLC/CBSE
Your answer
Type of Admission
*
Non Residential
Residential
Language Combination
*
Eng & Kannada
Eng & Hindi
Eng & Sanskrit
Subject Combination
*
PCMB
PCMCS
Course of Your Interest
*
PUC + NEET (Medical) + K-CET
PUC + JEE (Engineering) + K-CET
PUC + K-CET
Caste
*
Choose
SC
ST
OBC
GM
Sub Caste
*
Choose
CA-I
IIA
IIB
IIIA
IIIB
Not Applicable
Van Facility
*
Required
Not Required
Mobile No
*
Your answer
Address for Communication
*
Your answer
Email
*
Your answer
Mode of Payment
*
Bank Transaction
Bank Transaction ID/UPI ID/ UTR ID
*
Your answer
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