(A Co-Educational English Medium School)

Application Form

(Incomplete Application form will not be accepted)

Choice of Second Language * : Examination Passed * :
Stream * : Passed in * :
Admission Into (For course-Refer Prospectus) * :
Previous Institution details
Aggregate Marks Obtained : Maximum Marks :
Percentage(%) of Aggregate Marks : Marks Secured in Optionals & English(Excluding second Language) :
Maximum marks(Excluding second Language) : Percentage(%) of Optional subject & English Aggregate Marks :
Institution last studied : Institution Address :
Hall Ticket No : Medium :
Month & Year :
       
Personal Details
Name of the Applicant (As per 10+2 Certificate) * : Date of Birth * :
Gender Mother Tongue * :
Native Place : Native State :
SSC.H.T.No * : Nationality * :
Mobile Number * : Email Address :
Whether Disabled : Participation in Sports :
Religion * :
Caste * :
Sub Caste : Blood Group * :
Marital Status : Aadhaar Number : * :
Identification Marks
1.    
2.    
Address for Communication
Present Address
Address : *
City : *
Country : *
State : *
PIN Code : *
Residential Contact Number : *
Office Contact Number : *
Permanent Address
Address :
City :
Country :
State :
PIN Code :
Residential Contact Number :
Office Contact Number :
 
Father and Mother or Guardian Details
Father
Name : *
Relationship :
Sex :
Qualification :
Designation :
Organization :
Whether in Govt. Service? :
Annual Income :
Email Address :
Contact Number :
Mobile Number : *
Mother
Name :
Relationship :
Sex :
Qualification :
Designation :
Organization :
Whether in Govt. Service? :
Annual Income :
Email Address :
Contact Number :
Mobile Number :
Application Amount : 1000.0/-(Rs.) *
Mode of Payment * :  
 
I agree to the applicant '' admission to the 1st year / 2nd year B.A/B.Sc/B.Com/BBA/B.Voc. degree course. I understand that the Certificates will not be returned to the students till the completion of the course and fees once paid are not refundable under any circumstances. I have read and understood the rules pertaining to attendance at classes, at exams and tests and other college rules as specified in the prospectus and I agree to abide by these rules. I will verify her attendance particulars during the second week of September (odd semester) and February (even semester) without any further intimation. I agree to accept the decision of the Principal and the staff in these matters if the student does not abide by the rules. I shall not hold the college responsible for the loss of money and valuable items. All the particulars stated in this application are true to the best of my knowledge and belief.
Agree the terms and conditions