SSIT College

Medical College 2 No. Gate, Barasat, Kolkata, West Bengal 700124
Mob.: 90073337000 / 9051646904
E-mail: ssitpublicschool@gmail.com | Website: www.ssitcmahs.org

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APPLICATION FORM

Name of the Applicant:

Course:

School Name:

School Address:

Father’s / Mother’s Name:

Date of Birth:

Contact No.:

Whatsapp Number:

Admission Fees:

Transaction ID:

I do hereby declare that the statements above furnished are true to the best of my knowledge and belief. If any information is found false, my son/daughter’s candidature will be rejected without prior notice.

Guardian

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Student

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Application Form

SSIT COLLEGE