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Om Kothari Group of Education Institutes

“Aim not for what you are… but what you could be…”

Lt. Dr. Trilok Chand Kothari Former Chairman, Om Kothari Foundation

IIC

RTU

UOK

NSS

RED RIBBON

Admission Form

Student Information

Name of the Student

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Select Class:

Gender

Nationality

Date of Birth

Mobile No.

Aadhar Card Number

Category

Email ID

Identification Mark

Bank Details

Bank Name

A/C No

IFSC Code

Father's Details

Father's Name

Mobile No.

Landline (STD)

Occupation

Detail of Occupation

Email ID

Monthly Household Income

Address Details

Permanent Address

Phone

Email

Address of Correspondence

Qualifying Examination

Exam Name

Roll No

Year of Passing

Board/University

Total Marks

Marks Obtained

Percentage

Subject

College/School Last Attended

Details of Examination Passed Till Date

Exam	Year of Passing	Roll No.	Max Marks	Marks Obtained	Percentage
X
XII
UG
PG

Declaration & Oath

I of course declare that:

I will not indulge in ragging.
I will not encourage or participate in such activities.
I understand the consequences and legal actions if found guilty.

I hereby declare that the above information is true to the best of my knowledge and I agree to abide by university rules and regulations.

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Fees Card Details

Total Course Fees Discount (%) Net Fees Description

Om Kothari Group of Education Institutes

Admission Form

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