D.S.S.A. Mahavidyalay

DADANPUR AHIRAULI POST ARIYASO GHOSI MAU UP

Maharaja Suhel Dev University Azamgarh

Admission Form

Student Name

Date of Birth

Gender

Father's Name

Mother's Name

Aadhaar Number

Mobile Number

Email ID

Full Address

Class

Semester

Major Subject 1

Major Subject 2

Minor Subject

Exam	Roll No	Year	Board	School/College
High School
Intermediate

Caste Certificate No.

Application Number

Date of Issue

Student Photograph Max Size: 200KB (JPG/PNG)

Student Signature Upload scanned signature

Principal Signature

Verified Official