Junior College Application Form

Admissions Started for the academic Year (2019-2020)

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...