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PUBLIC COLLEGE SAMANA
Fill Registration Form for Session 2024-25
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Class to which Admission is Sought
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Name of Student
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Father's Name
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Mother's Name
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Date of Birth
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DD
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YYYY
Category
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General
OBC
SC/ST
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Gender
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Male
Female
Religion
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WhatsApp Mobile No.
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Alternate Mobile No.
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E-Mail ID
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Address:-
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Previous Class/Course (With Stream)
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Board/University
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Name of School/Institute
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Previous Class Board / University Roll No.
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Year of Passing/ Appeared
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Result
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