A Y DADABHAI TECHNICAL INSTITUTE, KOSAMBA
Kosamba – Mahuvej Road, Kosamba – Pincode – 394120
MANAGED BY: THE SURATEE SUNNI VOHRA MUSLIM EDUCATION SOCIETY, SURAT
FIRST YEAR DIPLOMA MANAGEMENT QUOTA ADMISSION FORM- (2020-21)
NAME AS PER THE BOARD MARKSHEET FORM FEE :200
ACPDC APPL NO.
STUDENT NAME
FATHERS NAME
SURNAME
GENDER
MALE
FEMALE
DATE OF BIRTH
NAME OF BOARD
GSEB
CBSE / ISCE
OTHER (SPECIFY)
BOARD SEAT NO
MATHS MARKS
SCIENCE &TECH MARK
ENGLISH MARKS
CENTRE NO.
YEAR OF PASSING
TOTAL MARKS
OBTAIN MARKS
ADDRESS
CITY
MOBILE NO.
PHOTO OF STUDENT
MARKSHEET
LEAVING CERTIFICATE
PASSWORD
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Note : Payment of registration fees (Rs. 200) must be done as a part of registration using following payment details
Bank Name : HDFC Bank, Branch : Kosamba
AC No : 50100300979820
IFSC CODE : HDFC0000897