S N M POLYTECHNIC MOODUBIDIRE
REGISTRATION FOR FINAL YEAR STUDENTS OF S N M POLYTECHNIC  2020-21
NOTE: ITI STUDENTS CAN IGNORE 1ST AND 2ND SEMESTER MARKS ENTRY
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NAME OF THE STUDENT *
Enter the full name as in SSLC Marks card in capital letter
FATHER NAME *
GENDER *
Required
REGISTER NUMBER *
Enter in capital letter
BRANCH *
Required
ITI/JOC
MENTION THE COURSE
CONTACT NUMBER *
EMAIL-ID *
RELIGION *
NAME OF CASTE (WITH CATEGORY) *
DATE OF BIRTH(M-D-Y) *
MM
/
DD
/
YYYY
AGE *
MARKS IN X *
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
MARKS IN XII
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
I SEM DIPLOMA MARKS %
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
PENDING SUBJECTS(ignore if not applicable) *
ENTER THE NUMBER OF SUBJECTS PENDING
II SEM DIPLOMA MARKS %
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
PENDING SUBJECTS(ignore if not applicable) *
ENTER THE NUMBER OF SUBJECTS PENDING
III SEM DIPLOMA MARKS %
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
PENDING SUBJECTS(ignore if not applicable) *
ENTER THE NUMBER OF SUBJECTS PENDING
IV SEM DIPLOMA MARKS %
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
PENDING SUBJECTS(ignore if not applicable) *
ENTER THE NUMBER OF SUBJECTS PENDING
V SEM DIPLOMA MARKS %
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
PENDING SUBJECTS(ignore if not applicable)
ENTER THE NUMBER OF SUBJECTS PENDING
AGGREGATE *
PLEASE WRITE THE MARKS IN PERCENTAGE Eg: 60%
ITI AGGREGATE %
THIS OPTION IS ONLY FOR ITI CANDIDATES
OTHER ACTIVITIES / ACHIEVEMENTS  /
CONTACT ADDRESS
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