SUJAN PRIVATE ITI

Rasalpur, Gaya, Bihar- 823003
www.sujaniti.com 9931737104 sujaniti@gmail.com

Online Admission

2024-2025

Student's Detail

Department*

Course*

Batch*

First Name*

Middle Name

Last Name

Contact Number*

Gender*

Blood Group

Religion*

Adhar Number*

Date of Birth*

Email*

Center Code

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Fee Installment

Fee Group*

Sr No. Installment Name Amount
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Total Amount:

Father's Detail

First Name*

Middle Name

Last Name

Highest Qualification

Occupation

Income Per Year

Contact Number*

Email

Mother's Detail

First Name*

Middle Name

Last Name

Highest Qualification

Occupation

Income Per Year

Contact Number

Email

Present Address

Address*

Landmark / PS

City / District*

State*

Pin Number

Permanent Address Same as above Address

Address*

Landmark / PS

City / District*

State*

Pin Number

Student Qualification

Exam Year Educational Institute Board/University Marks Obtained Max Marks % Division Subject Action

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