Application form

VIPS HALDIA

Admission Form

Course Applied For

Applicant's Name

Father's Name

Mother's Name

Father's/Guardian's Mobile No.

Applicant's Mobile No.

E-mail ID.

Gender

Education Qualification Details:

Qualification Details	Year Of passing	Name Of Board /University	Marks Obtained	% Marks	Devision/Grade
High School
Intermediate
Graduation

Declaration By The Applicant's

I hereby solemnly declare that all particulars given in this form are true to the best of my Knowledge and belief. I shall abide by the rules and regulation laid down by the college from time. In case the particulars mentioned by me are found false, my application stands cancelled.

-8334889621
vipshaldia@gmail.com