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Admission Form 2024-2025

Applicant Name *


Father's Name *


Mother's Name *


Telephone No. *


Date of Birth *


Place of Birth & District *
Seeking Admission In


Address for Communication*


Occupation of Parent/Guardian


Annual Income


Wish to join Hostel   

Adhar Number
Upload Photo *

Religion (if Catholic enclose Baptismal Certificate)


Community


Mother Tongue


Email Id


Intermediate Details

College Name

Class Obtained

March/September




Marks Obtained

Year

Registration No.







Jr. Inter


Sr. Inter
Year-Month



Part I
(English)



Part II
(Tel/Hin)



Part III
Physics
Th


Pr


MAT/BOT
Th


Pr


CHE
Th


Pr


ZOO
Th


Pr


Grand Total   


First Language :  

Second Language :  
Medium :  

Combination wanted under Part III :
















All Degree Students must enroll themselves in one of the three major Co-curricular programmes

Give your preference below :
1.

2. Extra Curricular Activities in School :

i) FINE ARTS & LITERARY ACTIVITIES








ii) SPORTS & GAMES










Give the names of relatives, if any, of past and present students and Employees of this College.
Name
Year
Present Position
Relationship
Present Address with Phone Number
Upload Applicant Signature
Upload Parent/Guardian Signature

Note : All * fields are mandatory.