Junior College Admission 2017-06-05T17:56:10+00:00

Junior College Application Form

Please Submit the below Details, our Admin will contact you

Personal Details
Name Of the Student:(required)
Father’s Name:(required)    Mother’s Name:(required)
Nationality:    Mother Tongue:
Sub Caste/Castes:    Religion:
Date of Birth:(required)   
Gender:(required)MaleFemaleUnspecified
  
Physically Handicapped
Total VH % (required):

Should be greater than or equal to 40%

  
  
Identification Marks
1. :    2. :
  
Blood Group:    Bone Marrow Status:
Congenial Disease if any:    Health Reports:
Surgery if any:
Mobile Number:(required)    Email ID:
Aadhar Card No. (UID)(required) :   
Admission
Want to Join :(required):First YearSecond Year
Group:(required) : CECHEC
Previous Education
SSC
Hall ticket no:(required)    Board Name:
Year of Passing:    Place:
Percentage of Marks obtained   
Receiving Any Scholarship :YesNo   
  
  
Present Address
H.No :    Street
Post&Village    State :
District    Mandal
Permanent Address
H.No :    Street
Post&Village    State :
District    Mandal
Parents Details
Mobile Number of Parent/Guardian: (required)    Email-ID:
Occupation:    Vehicle :
Farm Land/House:    Educational Level:
Congenial Diseases if any:
Student TC No :    Date of Withdrawal :
Class of Withdrawal :    Reasons of Withdrawal :
Upload Latest Passport Size Photo(.jpg/.png/.gif) (required):

File size should not be greater-than 50kb...