| Session : 2025-27 | Form No: SCC25PG- |
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| Student's Name : | Father's Name : |
| Date Of Birth : | Gender : |
| Reservation Category : | Physical Disability : |
| Email : | Mobile No : |
| COLLEGE : | UNIVERSITY : |
| Year of Passing : | Address : |
| Date Of Submission : | ![]() |
| Print Date : |