Serial No.

Enrollment No.

नाम Name :  
पिता का नाम Father’s Name :  
माता का नाम Mother’s Name :  
जन्म की तिथि Date of Birth :  1st January, 1970
संस्थान का नाम Name of the Institute :  

A student of Level course of , has been registered under this Council, registered on 1st January, 1970.

Registration Date : 1st January, 1970