1. Application for Admission for Session : | |
2. Caste : | |
3. Registration Fees Amount (Rs.) : | |
4. Applicant's Name : | |
5. Date of Birth (dd-mm-yyyy) : | |
6. Sex : | |
7. Aadhaar Card Number : | |
8. Blood Group : | |
9. Mother Tonuge : | |
10. Nationality : | |
41. Religion : | |
42. Minority : | |
13. BPL : | |
14. Physically Challenged : | |
15. Marital Status : | |
16. Father's Name : | |
17. Father's Occupation : | |
18. Family Income (Yearly) : | |
19. Mother's Name : | |
20. Mother's Occupation : | |
21. Guardian's Name : | |
22. Guardian's Occupation : | |
23. Email ID (not mandatory): | |
24. Area of Interest : | |
25. Permanent Addrress: | |
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Dist. | |
PIN No. | |
State | |
26. Corresponding Addrress: | |
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Dist. | |
PIN No. | |
State | |
27. Board / Council in (10+2) Exam.: | |
28. Medium in (10+2) Exam.: | |
29. Roll(WBCHSE)/IndexNo(ISC)/RollNo(CBSE) in (10+2): | |
30. Year of Passing (10+2) Exam.: | |
31. Name of Institution Last Attended: | |
32. Address of Institution Last Attended: | |
33. Marks Details in 10+2 Exam.: | |
Subject | Total Mark | Mark Obtained |
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34. Apply For Honours Programme: | |
35. Honours Subject Opted For | |
1st Option : Subject Combination : |
2nd Option : Subject Combination : |
36. Apply For Programme Course: | |
37. Programme Course : | |
38. Subject Combination 1: | |
39. Subject Combination 2: | |
40. Compulsory Subject in 1st Year: | Environmental Studies |
41. Compulsory Subject in 3rd Year: | |
Declaration : * |
I do hereby declare that : i) all the statements made in this application are true and correct. In the event any of the information being found to be false or incorrect or any ineligibility being detected before or after the admission, my candidature is liable to be cancelled and appropriate legal action be initiated against me by the college authority.
ii) My eligibility shall also be finally verified by the college authority and if it is found that I was not eligible for taking admission, my candidature shall be cancelled. |