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Student First Name:
Student Last Name:
Full Name (exactly as it appears in academic record):

Student Date of Birth (Format: DD-MM-YYYY):
Gender:	Male Female
Year of joining:
Direct admission into second year? :	No Yes
Year of passing (actual / projected):
Institute / Department:
Course :
Semesters completed (for which transcript is sought) :
Contact mobile number:
Student Email ID for receiving approved doc:
Upload Transcript (ONLY as per template):

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