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M.B.

A Department
Student Information and Portfolio
Session-----------------------

Semester--------------

Name ..

Roll No.

Date of Birth.

Age

Fathers Name.

Occupation.

Mothers Name..

Occupation.

Siblings (Brothers /Sister) ..


1.
2.
3.
4.
5.

Name.. Occupation ..
Name.. Occupation ..
Name.. Occupation ..
Name.. Occupation
Permanent Address
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Local Address

NAME and Occupation of Local Guardian If any_______________________


Contact InformationMobile No.
Email Address
Student: ..
Father: ..
Mother: . .

Academic details
10
10+2
GraduationPost Graduation
Diploma etc

Stream

Board/University

Percentage

Any other Info-.

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