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SISTec Registration Form
Sagar Group of Institutions
ENGINEERING PHARMACY MANAGEMENT
SISTec SISTec-E SISTec-R SIPTec
REGISTRATION FORM
Date:
1. Name:
…………………………………………………………………………………………………
2. Date of Birth:
………………………………………Category…………………..Gender………………….
3. Father's/Mother'sName:
…………………………………………………………………………………………………
4. Contact Nos:
(Landline)……………………………………….(Mobile)………………………………….
5.Address
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
6. School Information
7.Rank in
PET Roll No Marks
MET Roll No Marks
8.Preferred Branch
1)………………………………………………2)……………………………………………
9.Source of information
…………………………………………………………………………………………………
10. Parent's Occupation
………………………………………………..Annual Income………………………………
Class Board Percentage School
10th
12th
11. Cash/DD Amount
………………………………………………Date……………………………………………
12. Documents Enclosed
Candidate’s signature
For office use only
Name
…………………………………………………………………………………………
Cash/DD Amount
………………………………………………..Date……………………………………
Documents Enclosed
…………………………………………………………………………………………
Signature

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Sis tec registration form

  • 1. SISTec Registration Form Sagar Group of Institutions ENGINEERING PHARMACY MANAGEMENT SISTec SISTec-E SISTec-R SIPTec REGISTRATION FORM Date: 1. Name: ………………………………………………………………………………………………… 2. Date of Birth: ………………………………………Category…………………..Gender…………………. 3. Father's/Mother'sName: ………………………………………………………………………………………………… 4. Contact Nos: (Landline)……………………………………….(Mobile)…………………………………. 5.Address ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… 6. School Information 7.Rank in PET Roll No Marks MET Roll No Marks 8.Preferred Branch 1)………………………………………………2)…………………………………………… 9.Source of information ………………………………………………………………………………………………… 10. Parent's Occupation ………………………………………………..Annual Income……………………………… Class Board Percentage School 10th 12th
  • 2. 11. Cash/DD Amount ………………………………………………Date…………………………………………… 12. Documents Enclosed Candidate’s signature For office use only Name ………………………………………………………………………………………… Cash/DD Amount ………………………………………………..Date…………………………………… Documents Enclosed ………………………………………………………………………………………… Signature