SPECTRUM COLLEGE OF PHYSIOTHERAPY College Registartion Form

Academic Details

* 1. Year

* 2. Course

Personal Details

* 3. Surname

* 4. First Name

* 5. Father Name

* 6. Mother Name

* 7. Surname (Devanagari)

* 8. First Name (Devanagari)

* 9. Father Name (Devanagari)

* 10. Mother Name (Devanagari)

* 11. Full Name(as per HSC marksheet)

* 16. Student's Local Address

* 17. Pin

* 18. Whatsapp Mobile No.

Same as Local Address

* 19. Student's Parmanent Address

* 20. Pin

* 21. Calling Mobile No.

* 22. Date of Birth(as per SSC marksheet)

* 23. Place of Birth

* 24. Post

* 25. State

* 26. Dist.

* 27. Tal.

* 29. Gender

* 30. Nationality

* 31. Religion

* 32. Caste

* 33. Sub-Caste

* 42. Mother Tongue

* 43. Marital Status

* 45. Aadhar Number

* 48. PAN Number

* 51. Voter ID Number

* 52. Student Email ID (registered on the university portal)

Marks in PCBE

English	Physics	Chemistry	Biology	Total

Performance at the Last Examination/s

Exam Details- H.S.C.
* 71. Name of the Board
* 72. School / College from Which Passed
* 74. Year of Passing
* 75. Marks Obtained
* 76. Total Marks Obtained (Maximum Marks)
* 77. Percentage

Exam Details - NEET
* 78. All India Rank
* 79. Marks in Physics
* 80. Marks in Chemistry
* 81. Marks in Biology
82. Total marks (Physics, Chemistry and Biology)
* 83. Percentile

Exam Passed - F.Y.Sem-I
Name of the Board
Exam Seat No.
School / College from Which Passed
Year of Passing
Marks Obtained
Total Marks Obtained/ GPA
Percentage / Grade

Exam Passed - F.Y.Sem-II
Name of the Board
Exam Seat No.
School / College from Which Passed
Year of Passing
Marks Obtained
Total Marks Obtained/ GPA
Percentage / Grade

Exam Passed - S.Y.Sem-III
Name of the Board
Exam Seat No.
School / College from Which Passed
Year of Passing
Marks Obtained
Total Marks Obtained/ GPA
Percentage / Grade

Exam Passed - S.Y.Sem-IV
Name of the Board
Exam Seat No.
School / College from Which Passed
Year of Passing
Marks Obtained
Total Marks Obtained/ GPA
Percentage / Grade

Exam Passed - T.Y.Sem-V (for PG students Only)
Name of the Board
Exam Seat No.
School / College from Which Passed
Year of Passing
Maximum Marks / Out of Marks
Total Marks Obtained/ GPA
Percentage / Grade

Exam Passed - T.Y.Sem-VI (for PG students Only)
Name of the Board
Exam Seat No.
School / College from Which Passed
Year of Passing
Maximum Marks / Out of Marks
Total Marks Obtained/ GPA
Percentage / Grade

Parent's / Guardian's Details

* 85. Parent's / Guardian's Full Name

* 86. Parent's / Guardian's Address

* 87. Post

* 88. Tal.

* 89. Dist.

* 90. Pin

* 91. Parent's Mobile Number

* 92. Parent's Email ID

* 93. Parent's / Guardian's Occupation

* 94. Parent's / Guardian's Annual Income from all sources Rs.