G. D. Binani Post Graduate College

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Admission Session*

Roll No.

Enrollment No.

Name of Candidate *

Gender *

Father's Name (Don't Use Mr./Sri.) *

Mother's Name (Don't Use Smt./Sri.) *

Date Of Birth *

Mobile No. *

E-Mail *

Course Information (Last Study Course)

Last/Passing Session

Select Last Course*

Admission Date (If you have)

Select Passing Year

Address Information

Permanent Address *

Select State *

Select City *

Pincode *

Aadhar Information

Aadhar Number *