VIDYAPRASARAK MANDAL'S
ACT R DODDIHAL SCIENCE PU COLLEGE, BAGALKOT
Admission Form | Xth / I PUC | Integrated NEET • JEE • K-CET
Under the guidance of Dr. Gururaj Karajagi
Dr. Gururaj Karajagi
ACT-Chairman
Student Details
Student Name
Date of Birth
Gender
Select Gender
Male
Female
Aadhar Number
Address
Parent Details
Father Name
Mother Name
Parent Mobile
Alternate Mobile
Academic Details
Class
Select Class
Xth
I PUC
Medium
Select Medium
English
Kannada
Percentage
Previous School / College
Marks
Integrated Coaching Selection
NEET Integrated Course
Medical entrance coaching
JEE Integrated Course
Engineering entrance coaching
K-CET Integrated Course
Karnataka CET coaching
Declaration
I hereby declare that the above information is true and correct to the best of my knowledge.
I agree to the declaration
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