Online Application Form

COURSE APPLIED FOR*

Candidate Name*

Your Email*

Conatct Number*

Date of Birth*

Gender*

Marital Status*

Nationality*

Father's Name*

Mother's' Name

Community/Religion*

Category*

Other*

Area of Resiudence /Area*

Father's Income(per annum.)

Father's Occupation*

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Details of Examinations Passed till date

Pervious Examination	Roll No.	Year of Passing	Board/University	% of aggregate Mark	Division	Subject Offered	#

Subject Offered:For B.A.

Ist Preference	IInd Preference	IIIrd Preference	#

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Mailing Address

Both Address are same

Permanent Address

Address

State

City

Distict

Pincode

Tel. No. with STD code

Mobile No

Address

State

City

Distict

Pincode

Tel. No. with STD code

Mobile NO

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Declaration by Candidate:

All the information entered by me in application form are true to the best of my knowledge and nothing has been concealed. In case, at any stage, any information furnished herein above is found to be incorrect or any document found to be fraudulent, my application form will be rejected and I do agree to forego my claim/eligibility for admission and I am liable for criminal prosecution. I have read and understood the Rules, Regulations and Condition of the admission in the College and do agree with them.

I have read and agree to the above Terms and Conditions.

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