Pt. Deen Dayal Education Group

ADMISSION FORM

Please fill this form for online enquiry. Fields mark with (*) are mandatory fields.
Acknowledgement Note: Please visit our Study centre with Original Document

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Student Name^*

Father's Name^*

Mother's Name^*

Gender^*

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Date of Birth^*

( As per high school certificate in 'dd-mm-yyyy' format. i.e. '01-05-1990' )

Address ^*

State^*

Pin Code^*

Phone Number^*

Email Id

High School Roll No.^*

fill any One between (High School Roll No.) or (Other Qualification)

Other Qualification

Study Centre Code^*

Adhaar Card Number^*

fill any One between (Adhaar Card No.) or (any other Govt. Id. No.)

Other If any Govt. Id. No.^*

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Exam Mode ^*

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Declaration^*

I, hereby, declare that, the entries made by me in the Application Form are complete and true to the best of my knowledge and based on records.

ADMISSION FORM

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