Anand Institute Of Management

*Applicant Name

*Date of Birth

Student Image

*Mother's name

*Father's name

*Gender

MaleFemaleOthers

*Nationality

Address & Contact Info

*Address Line 1

Address Line 2

*Dstrict/City

*State

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*Phone Number

*Email

WhatsApp No

SAMAGRA ID

*Aadhaar No

Voter ID No

Domicile of Madhya Pradesh

YesNo

Issuing/Self Declared District

Issuing Authority with Certificate No

Issued Date

स्थानीय निवासी हेतु स्व प्रमाणित घोषणा पत्र प्रारूप-6 (अ) - कंडिका 4 के अनुसार श्रेणियों में आता है

YesNo

उत्तीर्ण अहर्कारी परीक्षा का विवरण *

Qualified Examination Details

10th

बोर्ड/विश्वविद्यालय का नाम*
Board/University Name)

परीक्षा का वर्ष*
(Examination Year)

अनुक्रमांक*
Roll Number

प्राप्तांक
Obt. Marks

पूर्णांक
Max. Marks

12th

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Mother

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Occupation

Org / Dept

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Email ID

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*Father's Image

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*High School Certificate
10th

*Higher Secondary Certificate
12th

*Transfer Certificate
TC

*Graduation Marks Sheet

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SAMAGRA ID

Bank Passbook

Migration Certificate

Voter Card

Admission Form

Address & Contact Info

Domicile of Madhya Pradesh

Issuing/Self Declared District

Issuing Authority with Certificate No

Issued Date

उत्तीर्ण अहर्कारी परीक्षा का विवरण *

Qualified Examination Details

Parents Profile

Uploads

Certificates

Video Tutorial

Video Gallery

Admission Form

Address & Contact Info

Domicile of Madhya Pradesh

Issuing/Self Declared District

Issuing Authority with Certificate No

Issued Date

उत्तीर्ण अहर्कारी परीक्षा का विवरण *

Qualified Examination Details

Parents Profile

Uploads

Certificates

Video Tutorial

Video Gallery

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