Course Name : BCA B.Com (Plain) B.Com (Comp) B.Sc.(CS) PGDCA MCM M.Com Candidate Full Name in Block Letters : Father's Name : Mother's Name : Date of Birth : 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 Gender : MaleFemale Category : GeneralSCSTOBCPhysically Handicape Address : Phone No. : Details of Previous Educational Qualification Exam/Degree Name of Board/University Core Subjects other than language studied Year of Passing % of Marks X Standard XII Standard Graduation