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DAYALBAGH EDUCATIONAL INSTITUTE

Application PDF : 2017-2018

Application Number 112357 Application Fees 270 INR

Program(s) Applied for


Program Name Study Mode Study Center
DIPLOMA-GROUP(A) REGULAR Dayalbagh Educational Institute

Personal Information
Applicant Name ANMOL SRIVASTAVA
Father Name MR. ASHOK KUMAR SATSANGI Father Income 300000
Mother Name LATE KAMINI SRIVASTAVA Mother Income 0
Guardian Name Guardian Income 0
Date of Birth 22-9-2002 Category GENERAL
Gender MALE Religion Hindu
Primary Email ashok.satsangi.52@gmail.com Nationality Indian
Contact Number 9044995196 Physically Handicapped NO
Hostel Required ? Y Ever Expelled ? N

Address Details
Correspondance Address
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Address MALVIYA GALI, RAMAI PATTI

City MIRZAPUR District MIRZAPUR


State UTTAR PRADESH Pincode 231001
Permanent Address
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Address MALVIYA GALI, RAMAI PATTI

City MIRZAPUR District MIRZAPUR


State UTTAR PRADESH Pincode 231001

Selected Examination Center


Preferred Examination Center MIRZAPUR

Selected Test Papers


For DIPLOMA-GROUP(A)
Compulsory Papers
1. PERFORMANCE ABILITY/SUBJECT TEST

Secondary Education
OBTAINED MARKS TOTAL MARKS % BOARD NAME YEAR OF PASSING
HIGH SCHOOL 411.00 500.00 82.20 I.C.S.E 2017
INTERMEDIATE 0.00 0.00 0.00

Others
OBTAINED MARKS TOTAL MARKS % YEAR OF PASSING
MATHEMATICS 85.00 100.00 85.00
(HIGH SCHOOL)
SCIENCE (HIGH 77.00 100.00 77.00
SCHOOL)

Preferred Branches Options


For DIPLOMA-GROUP(A) Branch 1 CIVIL
Branch 2 ELECTRICAL
Branch 3 MECHANICAL

Disclaimer
1. I declare that the information given in this application form is complete, true and correct.
2. I understand that providing false or misleading information or non-disclosure of relevant information may result in cancellation of my admission.
3. I also acknowledge that my admission can be cancelled at any time, with or without cause, and with or without prior notice at the option of the Institute.

Dayalbagh Educational Institute is a ragging-free, tobacco-free and smoking-free campus.


Applicants and students are not permitted to carry mobile phones on campus.
You must wear Helmet while driving Two Wheelers on campus.

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