Examination Form

To
The Registrar- B.S.E.

Sir / Mam,

I request that my name and other particulars as mentioned below may be entered in the register Electropathy Maintained under B.S.E. –

I request you kindly register as student of course :

Year of :

Under these council particulars of the student is given blow :

Course

Name Of The Student (Block Letter)

Father's/Husband Name

Mother's Name

Permanent Address Villege/Ward

P.O. :

P.S. :

Dist. :

Pin :

State :

Date Of Birth :

Age :

Sex :

Cast :

Religion :

Aadhaar Card Number :

Nationality

Education Qualification

Mibile No. :

Email ID

Institute Name

ONLINE FEE DEPOSIT SLIP

STUDENT REFRISTRATION CERTIFICATE

PHOTO

Terms

Students should follow the rules and regulations of the council.