ONLINE ADMISSION FORM FILLUP 2012

Important : Take a print out of the filled in Application Form after Online Submission and Submit the form along with a photocopy (Attested) of mark-sheet to the college(4.00 P.M to 7:00 P.M) excepting Sunday and bring the Acknowledgement at the time of Admission.

NAME
SCHOOL ROLL NO. / INDEX NO
BOARD/COUNCIL YEAR OF PASSING
RELIGION SEX
CATEGORY SPORTS
PHYSICALLY HANDICAPPED : % OF DISABILITY:
DATE OF BIRTH    
FIRST LANGUAGE    
STREAM PREFERENCE
LAST EXAM DETAILS Subject Name Full Marks Marks Obtained
 
VERNACULAR
(BENGALI / HINDI ETC)
SUBJECT 1
SUBJECT 2
SUBJECT 3
SUBJECT 4
TOTAL OF BEST 4 SUBJECT % OF BEST 4 SUBJECT
MOTHER'S NAME    
FATHER'S NAME    
NAME OF GUARDIAN    
ADDRESS - PERMANENT    
ADDRESS - PRESENT    
PHONE NUMBER