BAPUJI EDUCATION ASSOCIATION
APPLICATION FORM FOR THE YEAR 2020-2021
BAPUJI EDUCATION ASSOCIATION
APPLICATION FORM FOR THE YEAR 2020-2021
Name of the Student
*
Parent/Guardian Name
*
Date of Birth
*
Gender
*
Select
Male
Female
Place
*
Blood Group
*
Select
O Positive
O Negative
A Positive
A Negative
B Positive
B Negative
AB Positive
AB Negative
Student Phone No
*
Parent/Guardian Phone No
*
Name & Address of the Parent/Guardian
*
Permanent Address
*
Country:
*
Nationality:
*
Religion:
*
Caste:
*
Category:
*
Email:
*
Name of the Previous College of Study
*
Examination Passed with Reg. Number
*
Admitted Course/Studying
*
Select Course
MBA Programme BIET in Human Resources
MBA Programme BIET in Marketing
MBA Programme BIET in Finance
BAMR in Human Resources
BAMR in Marketing
BAMR in Finance
BIHE in BCA
BIHE in B.Com
PHARMACY in Pharma D
PHARMACY in D Pharma
PHARMACY in B Pharma
PHARMACY in M Pharma
Course Year
*
Select year
1st year
2nd year
3rd year
4th year
5th year
6th year
Medical Illness (if any)
*
Select
YES
NO
Vehicle number if any
Admission Number
*
Aadhar Card NO.
*
Student Photo(less than 200kb)
Admission Letter photo(less than 200kb)
Bank Account Name
*
Account Number
*
IFSC Code
*
Bank Name
*
DECLARATION BY THE STUDENT/PARENT/GUARDIAN
• I here by declare that the Date of birth of my son / daughter stated above is correct and i will not demand any change on any subsequent date.
• I agree to abide by the rules of the hostel as laid down by the management from time to time.
Aplying from Place:
*
Date:
*
Apply Now
