Maharshi Dayanand Education Society Form
Maharshi Dayanand Education Society Form
Maharshi Dayanand Education Society Form
PERSONAL INFORMATION
Name as per Mark Sheet (SSC or HSC): mali vishal nency Gender: MALE
Name in Devnagri: माली विशाल नैन्सी Nationality: indian
Place of Birth:
CHITROD ,RAPAR
Date of Birth: 2006-09-13 Religion: Hindu
DISTRICT -KUTCH ,
GUJURAT
Caste Category: General /
Caste: GUJURATI Mothe Tongue: Gujurati
Open
Other Reservation: None Marital Status: UN MARRIED
Address for Correspondence: 00 NO
113/1 shivam building Divyang:
b.m marg HANDICAPPED
mumbai, maharashtra - 400013 Blood Group: A+
Student's Contact No.: 9819925773
Parent's/Guardian's
9819748143
Contact No:
Email Id: Adhar Card No.:
[email protected] 379338002213
PARENT / GUARDIAN INFORMATION
Name: nency mali Relation with Student: father
Occupation: Business man Annual Income: 150000
I will submit all my original documents to the college whenever required to do so. I am aware that if any information in my
admision form is found to be incorrect and if it is found that I have submitted my original document to any other college, my
Junior College (Junior) Academic Year ( 2023 ) Subject: Form / Appl No :25237
I hereby undertake that I will submit all the required subject projects and appear for all the Practicals, Oral Examinations and
Application Based internal Tests as per HSC Board norms. If I fail to do so, the college will not be held liable for the same.
Date: