Admission Form Punjab Institute of Management and Technology Alour, Khanna- 141401 Student Name * Father's Name * Mother's Name Guardian Name Father/Mother's Contact* Father's / Guardian's Occupation Father's / Guardian's Annual Income Student Contact * Adhar Number * Valid Email ID * Session Year * Age in Year & Month * Blood Group Session * Whether belong to Urban AreaRural Area Course Interested in * Regular CourseDistance Course SELECTMCABBAB.ComBTTMMBAB.sc (Hons)AgricultureBCAB.Sc MLS (Medical Lab Science)Diploma in Fire and SafetyPG Diploma in Digital MarketingB.Voc (Data & Web Analytics)BCA (Distance Education)BBA (Distance Education)B.Com (Distance Education)DCA (Distance Education)BCA LEET (Distance Education) Gender * Nationality * D.O.B * Permanent Address* Correspondence Address * Academic Records Metric Details Year of Completion * Marks obtained * Board Roll Number Maximum Marks * Division * Percentage Board Name Subjects Offered Sr. Sec / +2 or equivalent Details Year of Completion * Marks obtained * Maximum Marks * Board Roll Number Division * Percentage * School / Board Name * Subjects Offered Graduation Details Year of Completion Maximum Marks Marks Obtained University Roll Number Division Percentage College / University Name Subjects Offered Post Graduation Details Year of Completion University Roll Number Marks Obtained Maximum Marks Division Percentage College / University Name Subjects Offered Category * GeneralSCBCOBC Hostel Accommodation * YesNo Transport Required * YesNo
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