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2017-18
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TAGORE INSTITUTE OF RESEARCH & TECHNOLOGY (POLYTECHNIC )
JAMALPUR GURGAON-122503
Approved by AICTE and Affiliated with HSBTE
An ISO 9001:2008 Certified Institute
Addmission No.
DET Roll No.
DET Rank
Branch
Status
Counselling
MGT Quata
To
The Principal
TAGORE INSTITUTE OF RESEARCH & TECHNOLOGY ( POLYTECHNIC)
Jamalpur, Gurgaon
Respected Sir,
Please admit my son/daughter/ward in your institute. All the requried information are given blow:-
1.Student's Name (in English)
(in Hindi):
Date of Birth
Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year:
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
Father's Name
3.(A) Father's Qulifiction :
Profation :
4.(A) Mother's Qulifiction :
Profation :
5.Last School Attanded :
6.Qualification Details :
Class
School
Year/Session
Board
Roll No.
Result
Subject
X
XII
7. Monthly Income f Parents from All Resources :
Caste :
8. Correspondence Address :
9. Wheather Collage Bus Facilities Required
Yes
No
