1
Name of the candidate
2
 a) Name of Father
b) Occupation
c) Anual Income
3
 a) Age
b) Date of birth
4
 a) Nationality
b) Religion
c) Caste
5
 Permanent Address of the candidate
6
 Particulars of Qualifying Exam  
Qualifying Exam passed
Name of the Board or State
Regd. No. & year of passing
No of attempts
Total marks %
Marks obtained physics, chemistry, Maths.
% in Optional
7 Institutionof which the candidate studied during last seven years
Course year
Name of Institution
Class
Medium
Remarks
8
 Extra curricular activities
9
 Name & address of a responsible person for reference
10
 Declaration by the candidate
 
Here by declare that the information furnished above is true to the best of my knowledge. I promise to abide the rules & regulations farmed by the college Authorities and also declare that I am liable for any disciplinary action taken by the college authorities incase of any on my default.
11 Declaration by parent
 
Hereby by declare that I will abide the rules & regulations framed by the college authorities.The College Fee. Examination Fee. Hoste Fee, Etc. Will be paid Withi in the given date. In case of default of my ward. The management and Principal of the college can take disciplinary action.
   
 
 
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