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Student Database - EEE 2023

This document appears to be a student enrollment form that collects information such as admission type, student name, joined year, course, gender, date of birth, address, family details, contact details, and bank account information. The form is hosted on Google Forms and collects data to be stored in a student database.

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Vyshak Appu
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0% found this document useful (0 votes)
129 views13 pages

Student Database - EEE 2023

This document appears to be a student enrollment form that collects information such as admission type, student name, joined year, course, gender, date of birth, address, family details, contact details, and bank account information. The form is hosted on Google Forms and collects data to be stored in a student database.

Uploaded by

Vyshak Appu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Admission Type *

Student Database - EEE


Choose
[email protected] Switch account

Your email will be recorded when you submit this form


Quota *
* Required

Choose

Student Name *
First name(Space)initial

Your answer Community *

This is a required question


Choose

Joined Year *
Religion *
Choose

Choose

Roll No *
Nationality *
Your answer

Choose

Course *

Hostel? *
Choose

Choose
Req. College Bus? * Caste *

Choose Choose

Admission Date * Joined Under Reserved Category *


DD-MM-YYYY

Choose
Your answer

Is Economically Backward *
Gender *

Choose
Choose

Is Father an Ex-Service man *


Is First Graduate? *

Choose
Choose

Ex-Service Info
DOB *
DD-MM-YYYY
Your answer

Your answer

Is Physically Challenged *

Mother Tongue *
Choose

Choose
Differently abled info Temporary Address *

Your answer Your answer

Blood Group * Temp. District *

Your answer
Choose

Next Clear form

First Identification marks *


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 Forms

Second Identification marks *

Your answer

Permanent Address *

Your answer

Perm. District *

Your answer
 

Work Info  *
Student Database - EEE
Your answer
[email protected] Switch account

Back Next Clear form


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* Required Never submit passwords through Google Forms.

This form was created inside of Karpagam College of Engineering. Report Abuse

FATHER INFO
 Forms

Fathers Name *
First name(Space)initial

Your answer

Qualification *

Your answer

Occupation *

Your answer

Annual Income *

Your answer
Work Info  *
Student Database - EEE
Your answer
[email protected] Switch account

Back Next Clear form


Your email will be recorded when you submit this form

* Required Never submit passwords through Google Forms.

This form was created inside of Karpagam College of Engineering. Report Abuse

MOTHER INFO
 Forms

Mothers Name *
First name(Space)initial

Your answer

Qualification *

Your answer

Occupation *

Your answer

Annual Income *

Your answer
Work Info  *
Student Database - EEE
Your answer
[email protected] Switch account

Back Next Clear form


Your email will be recorded when you submit this form

* Required Never submit passwords through Google Forms.

This form was created inside of Karpagam College of Engineering. Report Abuse

GUARDIAN INFO
 Forms

Guardian Name *
First name(Space)initial

Your answer

Qualification *

Your answer

Occupation *

Your answer

Annual Income *

Your answer
 

Landline *
Student Database - EEE std code-number

[email protected] Switch account Your answer

Your email will be recorded when you submit this form

* Required Student Email *

Your answer
Contact Detail

Student Mobile *
Father E-Mail *
Your answer
Your answer
This is a required question

Fathers mobile * Mother E-Mail *

Your answer Your answer

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Mothers mobile no *
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Your answer This form was created inside of Karpagam College of Engineering. Report Abuse

 Forms

Guardian Mobile *

Your answer
Student Database - EEE Student Database - EEE
[email protected] Switch account [email protected] Switch account

Your email will be recorded when you submit this form Your email will be recorded when you submit this form

* Required * Required

Other Details STUDENT BANK INFO

Joined Through * Bank Name *

Your answer
Choose

Bank Account No *
How students knew about Inst. *

Your answer
Choose

Back Next Clear form IFSC Code *

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This form was created inside of Karpagam College of Engineering. Report Abuse

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Branch name *

Your answer

MICR Code *

Your answer
 
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Never submit passwords through Google Forms.


Student Database - EEE
This form was created inside of Karpagam College of Engineering. Report Abuse
[email protected] Switch account

 Forms
Your email will be recorded when you submit this form

* Required

STATUTORY PROOF INFO

Aadhar *

Your answer

PAN

Your answer

Passport

Your answer

Passport Valid Till


DD-MM-YYYY

Your answer
 

Driving License no
Student Database - EEE
Your answer
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Driving License Valid till
DD-MM-YYYY * Required

Your answer
Educational Qualification (SSLC)

Back Next Clear form Student Roll no (SSLC) *

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 Forms
Board Type *

Your answer

School name *

Your answer

Marks Scored *

Your answer

Maximum Mark *

Your answer
Attempts *
Student Database - EEE
Your answer
[email protected] Switch account

Your email will be recorded when you submit this form


Month and Year of Passing *
Month - YYYY   (like APRIL - 2006) * Required

Your answer
Educational Qualification (HSC)

Back Next Clear form Student Roll no (HSC) *

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 Forms
Board Type *

Your answer

School name *

Your answer

Marks Scored *

Your answer

Maximum Mark *

Your answer
 

Attempts *
Student Database - EEE
Your answer
[email protected] Switch account

Your email will be recorded when you submit this form


Month and Year of Passing *
Month - YYYY   (like APRIL - 2006) * Required

Your answer
Educational Qualification (Diploma)

Back Next Clear form Student Roll no (Diploma) *

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 Forms
Board Type *

Your answer

School name *

Your answer

Marks Scored *

Your answer

Maximum Mark *

Your answer
 

Attempts *

Your answer

Month and Year of Passing *


Month - YYYY   (like APRIL - 2006)

Your answer

A copy of your responses will be emailed to [email protected].

Back Submit Clear form

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This form was created inside of Karpagam College of Engineering. Report Abuse

 Forms

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