Name : Date of Birth :
Father's Name : Email :
Address :
City : State :
Mobile : Pin Code :
Course :    
1st Preference 2nd Preference
Entrance Exam : Roll No. :
Marks :    
 
PDM Group of Institutions  
TECHNICAL EDUCATION
  
FOR
  
A SAFER FUTURE
  
Name of Examination Year of Passing Subject Board/University Max. Marks Marks Obtained Percentage
10th
10+2 PCM/PCB
10+2 aggregate
Diploma
Bachelor Degree (Specify)
Other Qualifications (if any)
 
  
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