Alexa Institute

Course Selection

Department
(विभाग)*

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Course Applied for
(पाठ्यक्रम के लिए आवेदन) *

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Basic Details (All Information should be as per 10th Marksheet)

First Name
(पहला नाम) *

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Middle Name
(मध्य नाम)

Last Name
(सरनेम)

Father's Name
(पिता का नाम) *

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Mother's Name
(माता का नाम) *

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Date of Birth
(जन्मतिथि)*

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Mobile No.
(मोबाइल नंबर)*(To receive SMS for admission)

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Email ID
(ईमेल आईडी)

Address Line 1
(स्थाई पता)*

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Country
(देश)*

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State
(राज्य)*

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District
(जिला)*

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Aadhar Enrollment No./Aadhar No.
(आधार नामांकन संख्या)*

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Personal Details (All Information should be as per 10th Marksheet)

Gender
(लिंग)*

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Religion
(धर्म)*

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Category
(वर्ग)*

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Nationality
(राष्ट्रीयता)*

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Applied For
(आवेदन)*

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ATTACHMENTS

Passport Photo *

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Signture *

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Admission Form

Course Selection

Basic Details (All Information should be as per 10th Marksheet)

Personal Details (All Information should be as per 10th Marksheet)

ATTACHMENTS