AD Group of Education, Buxar

Head Office Address:- Itarhi Block Buxar(Bihar),802123 Branch Office:- PATNA | LUCKNOW | GRATER NOIDA | BANARAS MO:- 8851335609,6206049137 Email:- Paladgroup2020@gmail.com
ONLINE ADMISSION FORM

SESSION *

NAME OF COURSE *

NAME OF STUDENT * (in Capital letters As per 10th Class)

DATE OF BIRTH * (As per 10th Class)

FATHER'S NAME (As per 10th Class)

MOTHER'S NAME (As per 10th Class)

MANDATORY FIELDS

CATEGORY

SUB CATEGORY

GENDER

MALE FEMALE

NATIONALITY

STATE / UNION TERRITORY OF INDIA

PERMANENT ADDRESS

PIN CODE

AADHAR CARD NO.

EMAIL ID

MOBILE NO.

MOBILE NO. PARENT'S GUARDIANS

Slno.	Name of Exam	Roll No.	Year of Passing	Board / University	Subject	Marks Obt.	Max. Marks	%

MARKS OBTAINED

PHYSICS			CHEMISTRY			BIOLOGY / MATHS
Marks Obt.	Max. Marks	%	Marks Obt.	Max. Marks	%	Marks Obt.	Max. Marks	%

STUDENT PHOTO (50KB)

STUDENT SIGNATURE (50KB)

GUARDIANS SIGNATURE (50KB)

PLACE