Veerangna Rani Avanti Bai Lodhi Government Girls Degree College, Bareilly

Virangna Abanti Bai Lodhi Govt. Girls Degree College, Bareilly

Student will fill this form.

Registration No.

Course

Aadhar No.

Voter ID (Epic No)

Domicile Certificate Ap. No.

Domicile Certificate No.

Student's Name

Father's Name

Mother's Name

(If Married) Husband's Name

Date of Birth

Permanent Address

House No.

Colony/Village

City/Town/Block

Post Office

Pin Code

District

State

Correspondance Address

House No.

Colony/Village

City/Town/Block

Post Office

Pin Code

District

State

Handicapped

Type

Percentage

Certificate No.

Dependent

Army

Freedom Fighter

Teachers/Staff(Degree Colleges)

Reservation for General

Parents Occupation (Father/Guardian)

Occupation

Income

Income Certificate Ap.No.

Income Certificate No.

Weightage

NSS

Games

N.C.C.

Scout/Rober Range/Guide

Non Stream

Gap

Scholarship

Scholarship Reg. No

Scholarship Amount (Received)

Bank Account No.

Bank Name

Branch Name

IFS Code

Contact Details

Mobile No

Valid Email