Application Form

Form Peview Dialog

Attention!

* Please Review and check Your Application Form very Carefully. If it is ok then Click Final Submit, if it is not then back to your application form and edit. Once you click final submit you can not edit your application form.

APPLICATION FORM PREVIEW

Personal Information

Name :	Father/Guardian :
Date of Birth :	Mother's Name :
Sex :	Marital Status :
Citizen of India :	Spouse Name :
Religion :	Blood Group :
City/Village :	Category :
Post Office :	Caste Issued by :	Cert. No. :
District :	PWD (PH) :
Pin :	Income Group :
State :	If PWD,Type of PWD :	/ Year
Mobile No(Own). :	Sport :
Email Id(Own) :	Sport Level :
Domicile :	NCC/NSS :
Aadhar No :	Roll number (WBJEE/JEE MAIN) :
Last Institute :	General merit rank :

Academic

Label

Details of (10th/Equivalent) Examination
Year of Passing :	Label	Registration No:	Label	Roll :	Label No :	Marks obtained in English :	Label
Name Of Board :	Label	Subjects of 10th :	Label	Total Marks :	Label %

Details of Last Examination (HS/Equivalent) Passed
Year of Passing :	Registration No:	Roll :	No :
Name Of Board :

Mark Sheet
Subjects	Marks Obtained(%)
Language Group
1.
2.
Stream Subjects
1.
2.
3.
4.
Total Marks

Declaration:


		Signature of Applicant

Date :

Session :

Course Year/Sem :

TERMS & CONDITIONS

Privacy Policy – All data collected here would be used only for the online admission process and for the college’s use only after Joint Enterance Councelling is Over. The data will not be willfully shared with any other persons.
Refund – No refund would be possible after the student’s application / registration is completed successfully.
General Terms & conditions regarding admission process as laid down by the college/university/other relevant authorities would apply. Students should read all terms & conditions on admission form, prospectus of college.

Photo & Signature

Upload Photo


Maximum Photo Size 30KB(GIF Only)

Upload Signature


Maximum Signature Size 20KB(GIF Only)

Personal Information

Name : *

Father/Guardian :*

Date of Birth :*

Mother's Name :*

Sex :*

Marital Status :*

Citizen of India :

Spouse Name :

Religion :*

Blood Group :

City/Village :*

Category :*

Post Office :*

Caste Issued by :*

District :*

PWD (PH) :*

Pin :*

If PWD,Type of PWD :

State :*

Family Income :

/ Year

Mobile No. :*

Sports : *

Email Id :*

Sports Level : *

Domicile : *

NCC/NSS :

Aadhar No :

Roll number (WBJEE/JEE MAIN) : *

Last Institute : *

General merit rank : *

Academic

Details of MADHYAMIK (10th/Equivalent) Examination

Year of Passing :*

Registration No:*

Roll :*

No :

Marks in English :

Name Of Board :*

Subjects Taken :*

Full Marks*

Marks Obtained*

Percent(%) :

Details of Higher Secondary (10+2/Equivalent) Examination
Year of Passing :*	Registration No:*	Roll :*	No :
Name Of Board :*

Marks of Higher Secondary (10+2/Equivalent) Examination

You must give the Subject names and marks of best distinct subjects in Science Stream in XII Standards. Repetition of One subject for more than once will lead to rejection of the application.

Subjects

Marks Obtained(%)

Full Marks(%)

Language Group

Elective Subjects

Grand Total :

=> %

Elective 1-3 Total/% :

=> %

Attention!