Avadh Girl's Degree College

Name*

Father's Name*

Mother's Name*

Course*

Course Year*

DOB*

Blood Group

Parents Mob No*

Receipt No*

Receipt Date*

Amount*

Address* Max 50 words

Photo* Photo will be 130*140 px and jpg, jpeg, png only then the form will be submitted.

Signature* Signature will be 130*60 px and jpg, jpeg, png only then the form will be submitted.