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Address : City Campus-RPS More, Bailey Road, Patna-801503 / Main Campus:Gaurichak, Patna-800007 Admission Office: 3rd Floor, Dheeraj Commercial Complex, Boring Road, Patna-800001

Tel :
Email : Admission@impactcollege.in
Web : www.impactcollege.edu.in

Admission Form

STUDENT INFORMATION

Form ID :-

First Name*

Middle Name

Surname*

Gender*

DOB*

Adhar Card Number*

Contact Number*

Watsapp Number*

E-mail*

Nationality*

Religion*

Category*

BLOOD GROUP*

Marital Status*

Physically Challenged*

Family Yearly Income*

DRCC*

10th UID number

School DISE CODE

XII - UID / University ID NO

Hostel*

Transport*

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