Admission Form

Admission Sought In Class

Name of student

Fathers Name

Mothers Name

Gender

Date of Birth

Nationality

Category

Belongs to BPL

Religion

Caste

Blood Group

Email

Mobile No

Annual income of Parents/Guardian

Permanent address

Correspondence address

Educational Qualifications

Sr Name of Exam Year Of Passing Board School Subjects Division Percentage
1 X
2 XII
3 UG-I
4 UG-II
5 UG-III

College Transportation Facility Required

If YES, then name of Village ?

UPLOAD PHOTO

UPLOAD SIGNATURE

DECLARATION

I,declare that all the information given in this application form is true to the best of my knowledge. I assure that I shall abide by all the rules and regulations of the college, which are in vogue now as well as those, which come into force from time to time. I further assure that I shall do nothing inside or outside the college that goes against the discipline and orderly working of the college. I understand that if (1) any information herein is found is to be incorrect, (2) I am found indulging in any act of indiscipline or (3) I fail to pay the dues in time, I shall be liable to any punishment as decided by the college, which may even include striking off my name form the rolls of the college/University. I also under take my own responsibility outside the college campus.
I Agree