Excellent Science and Commerce PU College
Moodbidri, Mangalore Taluk. D.K. 574227---Welcome To You---
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           Student Online Registration Form  

   
Institution:           
Student Name:   	
Parent Name: 	
Address 1:	
Address 2:	
Address 3:	
City/Town:	
District:	
State:		
Pincode:	
Phone 1:	
Phone 2:	
Email ID:               
Preferred Course:          
Preferred    Class:             
Combination:                  	 
Second Language:             	 
Percentage Expected:   
Information Got By:          
 

  	

          


 
            Today is: