Pathar Pratima Mahavidyalaya
Student's Data Collection Form
Application & Academic Details
CAP Application No.
*
CAP Applicant Code
*
Major Subject / Course
*
-- Select Subject/Course --
B.A. Multidisciplinary
B.COM.GENERAL ( MULTIDISCIPLINARY)
B.Sc. Multidisciplinary
BENGALI (Major)
ECONOMICS (Major)
EDUCATION (Major)
ENGLISH (Major)
GEOGRAPHY (Major)
HISTORY (Major)
PHILOSOPHY (Major)
POLITICAL SCIENCE (Major)
SANSKRIT (Major)
Semester
*
Semester I
Semester II
Semester III
Semester IV
Semester V
Semester VI
Semester VII
Semester VIII
Roll No.
Personal Details
Student's Full Name
*
Date of Birth
*
Gender
*
Male
Female
Blood Group
UnKnown
A+
A-
B+
B-
AB+
AB-
O+
O-
Phone No.
*
Guardian's Name
*
Document Upload
Student Photo (JPG/PNG)
Student Signature (JPG/PNG)
Address Details
Village / Street Address
*
Post Office (P.O.)
*
Police Station (P.S.)
*
District
*
State
*
PIN Code
*
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