Form Fill up For General Course

Morning Shift

  Sunday, 5 Dec 2021
PERSONAL INFORMATION
1. Name      
2. Date of Birth
Attach Your Passport Size Photo

Size between 30KB to 50KB
 

  

Size between 10KB to 50KB
 
Upload Student Signature
3. Nationality  
4. Religion    
5. Minority  
6. Gender  
7. Caste      Sub Caste  
8. Physically Handicapped  
9. Mobile No.    
10. Aadhaar Card No.  
11. Blood Group
12. Email id  
13. ADDRESS
Vill  
P.O.  
P.S.  
PIN Code    
Dist.  
State  
14. Whether Working    
15. Mother Tongue    
16. Marital Status
17. Father's Name    
18. Father's Qualification
19. Father's Occupation  
20. Father's Income(Yearly)
21. Father's/Guardian's Phone No.    
22. Mother's Name     
23. Mother's Qualification
24. Mother's Occupation  
25. Mother's Income(Yearly)
26. Local Guardian's Name  
27. Local Guardian's Occupation  
28. Relation with Local Guardian  
29. Legal Guardian  
Spouse Name
Anual Income of the Family    
Whether Belongs To Bpl / Apl    
Nearest Railway Station
Marks In Math(M.P)    
ACADEMIC RECORDS
H.S/Equivalent Roll & No./Index No.     
H.S Registration No.  
Division  
Year of Passing  
Name of the Council/Board  
Name of the School last Attended  
Whether applied to some other college
Name Of The College   Name Of the Course  
Do you have CU Registration No?     CU Reg. No
 
Statement of marks obtained in the H.S./Equivalent Examination
                   * Do not enter the marks of Environmental Studies Unless it is Elective Subject
Please Select Subject Marks Obtained Full Marks
 Compulsory    
EnglishCompulsory    
     
     
     
     
 
                                 Total Marks Obtained                       Best Four Marks
 
APPLICATION PART
SHIFT    

All admissions are provisional. If any information is found incorrect the application/admission will be summarily cancelled without showing any reason whatsoever, at any point of time.
Srl. No.StreamSubject CombinationCore Course 1Core Course 2 AECC 1 AECC 2LCC 1LCC 2Combination CodeMerit Marks
1
Madhyamik Admit Card
(admit/Certificate of Madhyamik)
Size between 100KB to 150KB 

 
H.S / Equivalent Marksheet.Not more than 150kb 

 
Please confirm Date of Birth then submit your Application Form.
  
Full Address with Pin Code