Maharaja Agrasen International College

Admission Form

For More Enquiry
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Academic details
Enquiry No : Enquiry Date : *
     
Course : *
 


Personal details
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Blood Group


Parent details
   
Father's Occupation Type* Father's Annual Income Father's Mobile No.*
    
 
   
Mother's Occupation Type
                          



Details of Qualification Acquired
High School Class X
High School Class XII
UG Degree
PG Degree
Other Degree



Family Background



Other details
       
Aadhar Card NO. Are you a Domicle of Chhattisgarh How do you come to about MAIC?
Yes No News Paper Friends
Other StudentOther
Extra Curricular Activities interested in: Ambition of Life :
Maic BandRover & RangerSport Other Activities



Contact details
Land Line No.* Student Mobile No.* Student Email Parents Mob. *
   
Local Address * Father's Permanent Address *
Pin Code State *


Undertaking