APPLICATION FORM

Course applied for

Subject applied form

name of the Applicant as in the XII standard

Sex

Date of Birth

Blood Group

Nationality

Mother Tongue

Religion

Community / Caste

Aadhar Number

Father's Name

Mother's Name


Father Employed

Father Occupation

Father Annual Income


Permanent Address (do not repeat Name)

District

State

Pincode

Address for Correspondence - Parent / Guardian (if different from above)

District

State

Pincode


Country

Email

Mobile

Phone

Are Yor Handicapped


Details of educational Qualification

a) For UG write HSC mark Details,

b) For PG write SSLC, HSC and UG Degree mark Details,

SI.No Name of the Qualifying Exam Name Of the School / College
Last Studied
Name Of the University / Board % Obtained
1
2
3
4
5
6

Your participation in Extra Curicular Activities

Do You required Hostel Facility

Hereby affirm that the particulars given in the application form are true and currect to the best of my knowledge. If it is found at any stage that there is suppression, distortion, incorrect or false statement of data, I am aware that this may lead to my dismissal from the college and I would also be liable to make good any lose that may be caused due to covert action.

ADMISSION 2025-26