Nextlife Colleges || Application Form

University Last Attended

Last University Registration No

Method Subject

Category ( Put/ Mark against appropriate Category )

GEN	OBC-A	OBC-B	SC	ST	PWD% of Disability

Personal Details

Name of the Applicant

Father’s Name

Mother’s Name

Permanent Address

Mailing Address

Email Address

Contact Number

Aadhaar No:

WhatsApp No:

Gender

Municipality/Panchayat

Block

Nationality:

Religion

Guardian’s Mob. No.

Email Id

Family income (Annually)

Relationship with Guardian

Date of Birth

Blood Group

Academic Qualification

Sr No.	Name of the Examination	Board/University	Year of Passing	Full Marks	%of matks obtained
1
2
3

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Details About Deputed Candidates

Deputed by any Govt/Govt.Sponsored/Govt.aided Instruction	YES NO
Name of the Institution
Date of Joining (DD/MM/YYYY)