Name Of The Applicant:
Name Of The Course
Gender
MaleFemale
Date of Birth
Father's Name & Occupation
Annual Family Income
Permanant Address
Pincode
Present Address
Email
Phone no.With STD.Cod
Mobile Phone no.
EDUCATIONAL QUALIFICATIONS
A. STD-X (SSLC, CBSE,ISCE,OTHERS)
Name of the board
Total marks
Marks in Percentage
YEAR OF PASSING
B. DETAILS OF QUALIFYING EXAM(PDC,+2,VHSE,CBSE,ICSE,OTHERS)
Total Marks
WHETHER APPEARED FOR ENTRANCE TEST
YesNo
Rank
Caste And Religion
WHICH COMMUNITY YOU BELONG TO:
GENERALSCSTOBC
HOSTEL ACCOMODATION NEEDED
YesN0
UPLOAD PICTURE
JOINT DECLARATION BY THE APPLICANT & PARENT
I hereby solemnly and sincerely affirm that, I have read the prospectus and fully understood the rules and code of campus conduct of the college and I promise that I shall follow the same. If I contravene any of the rules and regulations of the College, I am aware that i am liable to disciplinary action that the College Management may consider necessary and appropriate.
Moreover,I hereby solemnly and sincerely affirm that the details, statements, date of birth and the information furnished by me in the application and enclosures submitted by me are true
Δ