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Registration Form for SS Institute

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networkak7
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21 views1 page

Registration Form for SS Institute

Uploaded by

networkak7
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SS

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TM

THE INSITUTE OF MANAGEMENT

REGISTRATION FORM
OFFICE USE ONLY

Reg Date
Roll Number PHOTO

PERSONAL INFORMATION

Student’s Name
Father’s Name
Date of Birth Mobile No.

Address
Pin Code City/District

Email Id

EDUCATION / QUALIFICATION DETAILS


Qualification Board / University Passing Year Percentage
10th
12th

Graduation
Post Grade
Other

COURSE DETAILS

Course Name Study Type Online Regular


Date of Admission Exam Mode Offline Online

DECLEARATION
I, hereby declare that the particulars submitted by me in the online examination application form are the best of my
knowledge and belief. I agree to abide by the rule regulations of SS THE INSTITUTE OF MANAGEMENT and also the decision
of institute regarding my admission for the exam. I have noted that, institute has right to withhold my result even after my
appearing in the examination in additional to any action as may be deemed fit in the event of any of the
statements/particulars made above being found incorrect.
Date
Place Student’s Signature Authorized Signature
By: Anand Kushwaha, The student of SS THE INSTITUTE OF MANAGEMENT ANAND-563

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