Student Admission Form
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Course Detail
College
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SHDC
SHMT
Course Applied For:
Group :
BIO
MATHS
Subject :
WRN No.(for 1st year only):
Personal Detail
Student Name :
*
Gender :
Male
Female
Batch Year :
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*
Upload Photo:
Father Name:
Father's Occupation
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private job
government job
semi government job
business
self employed
NRI
others
Mother Name:
Mother's Occupation
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private job
government job
semi government job
business
self employed
NRI
others
Guardian's Name:
Guardian's Occupation
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private job
government job
semi government job
business
self employed
NRI
others
Date of Birth:
Wrong
Category:
*
Caste:
Community :
Address Detail
Address:
*
City:
*
State:
Select
Andhra Pradesh
Arunachal Pradesh
Himachal Pradesh
Punjab
Delhi
Haryana
Rajasthan
Gujrat
Uttar Pradesh
Uttaranchal
Bihar
West Bengal
Madhya Pradesh
Chattisgarh
Jharkhand
karnataka
Kerala
Maharashtra
Tamil Nadu
Jammu Kashmir
Goa
Assam
Mizoram
Orrisa
Sikkim
Tripura
Manipur
Others
*
Postal Code:
*
Country:
Select
India
*
Father's Annual Income:
Families Annual Income:
Mobile No.:
Contact No.:
Class/Program
Registration No.
Board/University
Percentage(%)
Passing Year
Remarks
10
th
*
*
*
*
12
th
*
*
*
*
Graduation
*
Post Graduation
*
Last School/College Attended :
*
Encloser: Check List
1)High School Mraksheet and Certificate
SUBMITTED
DUE
2)Intermediate (10 + 2) Mraksheet and Certificate
SUBMITTED
DUE
3)Transfer Certificate (Original)
SUBMITTED
DUE
4)Character Certificate (Original)
SUBMITTED
DUE
5)Migration Certificate (Original) if passed from CBSE/ICSE/NIOS and if passed graduation from other university (for admission in M. Sc.)
SUBMITTED
DUE
6)Permanent Residence Proof
SUBMITTED
DUE
7)Notary Affidavit (in case of gap year during studies)
SUBMITTED
DUE
Declaration by the Candidate
I
Label
hereby declare that all the information given above is true and complete to the best of my knowledge and belief, and nothing has been concealed or distorted. Further, I agree to abide by the rules and regulations. If at any time i am found to have concealed or distorted any information and in case of misconduct, my admission shall cancelled and i shall be liable to such disciplinary action as may be decided by the college.
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% seats are already filled.