Nirmala College Application Form

Application

Quota

Name of the candidate

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Course Applied

Date of birth

Age

Gender

Religion

Caste

Category

Nationality

Permanent Address

Address for communication

Please check, is present address is same as permanent address

Mobile Number

Whatsapp Number

Land phone

Email ID

Aadhaar Number

Place of birth

Blood Group

Are you a certificate Holder in Arts / Sport / Games at District and Higher Level

Yes

Whether Holder of NCC / NSS certificate

Yes

Are you Physically Handicapped

Yes