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|
|
FOR OFFICE USE ONLY
|
| Sr. No. |
---------------------- |
Registration No. |
---------------------- |
| Exam Form No |
---------------------- |
Remarks |
---------------------- |
|
|
Academic Info
|
|
JNCURN ID
|
|
|
APAR ID
|
|
|
Form No
|
|
|
|
Admission Session
|
|
|
Admission Class
|
|
|
Last Institute Name
|
|
|
|
|
Personal Info
|
|
Name
|
|
|
Gender
|
|
|
DOB
|
|
|
Blood Group
|
|
| Nationality |
|
Religion |
|
Category |
|
|
|
Father Name
|
|
Mother Name
|
|
|
Mobile No
|
|
Whatsapp No
|
|
| P. Address |
|
|
Email Id
|
|
|
|
|
Aadhar No
|
|
| Board/University
|
Class
|
Pass Year
|
Roll No
|
Total Marks
|
Obtain Marks
|
Percentage%
|
|
|
Student Photo Image
|
Student Signature Image
|
![]()
|
![]()
|
|
Declaration:
- 1. I sincerely declare that all the details given in the admission application form are true. I have read the rules and instructions related to admission before filling it.
- 2. I undertake to assure that I will maintain discipline in the college and will follow the provisions of the instructions issued by the college/university act. If I behave contrary to this undertaking, I may be suspended and expelled from the college or any other action may be taken against me as per rules. The college discipline committee will have full authority for this.
|
Attachment:
High School Marksheet & Certificate, Inter Marksheet & Certificate, 2-Photo, Caste Certificate, TC
|
| Date :
|
Student Signature : -------------------
|
|
|
|
FOR OFFICE USE ONLY
|
| Sr. No. |
---------------------- |
Registration No. |
---------------------- |
| Exam Form No |
---------------------- |
Remarks |
---------------------- |
|
|
Academic Info
|
|
JNCURN ID
|
|
|
APAR ID
|
|
|
Form No
|
|
|
|
Admission Session
|
|
|
Admission Class
|
|
|
Last Institute Name
|
|
|
|
|
Personal Info
|
|
Name
|
|
|
Gender
|
|
|
DOB
|
|
|
Blood Group
|
|
| Nationality |
|
Religion |
|
Category |
|
|
|
Father Name
|
|
Mother Name
|
|
|
Mobile No
|
|
Whatsapp No
|
|
| P. Address |
|
|
Email Id
|
|
|
|
|
Aadhar No
|
|
| Board/University
|
Class
|
Pass Year
|
Roll No
|
Total Marks
|
Obtain Marks
|
Percentage%
|
|
|
Student Photo Image
|
Student Signature Image
|
![]()
|
![]()
|
|
Declaration:
- 1. I sincerely declare that all the details given in the admission application form are true. I have read the rules and instructions related to admission before filling it.
- 2. I undertake to assure that I will maintain discipline in the college and will follow the provisions of the instructions issued by the college/university act. If I behave contrary to this undertaking, I may be suspended and expelled from the college or any other action may be taken against me as per rules. The college discipline committee will have full authority for this.
|
|
Attachment: High School Marksheet & Certificate, Inter Marksheet & Certificate, 2-Photo, Caste Certificate, TC
|
| Date :
|
Student Signature : -------------------
|