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ONLINE ADMISSION FORM

    Name in Full

    Surname

    First Name

    Father’s/Husband’s Name

    Mother’s Name

    Address

    A. Correspondence

    B. Permanent

    Date Of The Birth

    Place of Birth

    Contact Number

    Emergency Cont. Number

    Email ID

    Alternate E-mail id

    Gender

    Marital Status

    Social Category

    Caste Certificate

    Caste Validity

    Non Creamy Layer

    Physically Handicapped

    UNDERTAKING

    I understand and agree that the registration fee is neither transferable nor refundable.

    We do hereby confirm that above mentioned information is true to the best of my knowledge.

    Person Name

    Date

    Student Name

    PAYMENT DETAILS:

    For confirmation of admission kindly pay the registration amount. Online Payment Details are mentioned below.


    Account Name: Dnyan Ganga Education Trust
    Bank Name: NKGSB Bank Ltd
    Account Number: 107110600000001
    Branch: KAVESAR, GHODBUNDER ROAD, THANE
    IFSC Code: NKGS0000107

    CONFIRMATION OF SUCCESSFULLY RECEIVED PAYMENT

    Online Transaction Details:

    Name of the Bank

    Transaction Id

    Date Of Transaction

    Amount Paid