ADMISSION FORM

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1. STUDENT’S DETAILS :

a) Name of Student *

First

Middle

Last

b) Gender *

c) Married *

e) Date of Birth *

i) Caste *

k) Permanent Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

l) Mobile No. *

l) Whatsapp No. *

m) E-Mail ID : *

p) Bank Name *

q) Acc. No. *

r) IFS Code *

COURSE APPLIED FOR *

(2) FATHER’s DETAILS :

Name *

First

Middle

Last

b) E-mail ID *

c) Mobile No. *

d) Type of Employment *

Service
Govt. Employee
Self Employee

e) Office Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

(3) MOTHER’S DETAILS :

a) Name *

First

Middle

Last

b) E-mail ID *

c) Mobile No. *

d) Type of Employment *

Service
Govt. Employee
Employee

e) Office Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Welcome to Renaissance College of Computer Science & Advanced Technology :: Affiliated to RTM Nagpur University

Welcome to Renaissance College of Computer Science & Advanced Technology :: Affiliated to RTM Nagpur University

ADMISSION FORM

1. STUDENT’S DETAILS :

(2) FATHER’s DETAILS :

(3) MOTHER’S DETAILS :

(5) S.S.C.

(6) H.S.S.C.

(8) ANY HIGHER QUALIFICATION

10) LIST OF DOCUMENTS ATTACHED (ONLY TRUE COPIES) : (ORIGINALS SHOULD BE SUBMITTED AT THE TIME OF FINAL ADMISSION)

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