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Ool of Management, University Road, Kolhapur. 416 004. (Maharashtra) Admn.No: G.R.No: Roll No.: Recent Photograph Sir, I hereby apply for admission to the PGDCA One Year Course. For the Year I declare that Student s Name: Surname Name Father s/Husband s Name Date of Birth: Place of Birth: Taluka: District: Father s / Guardian s Name: Occupation: Annual Income Rs. Local Guardian s Name: Address & Phone: Permanent Address: Pin Code Caste : Phone SC ST NT OBC OPEN Edu.

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