APPLICATION FORM FOR ADMISSION B.A. 1st sem (For Other state, other board or gap year students)

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Admission Form (For Other state, other board or gap year students)

APPLICATION FORM FOR ADMISSION

B.A. 1st sem (For Other state, other board or gap year students)

TO BE FILLED BY THE OFFICE

Class / Year:
Roll No :
Section:
Admission Receipt No.:
Date:

TO BE FILLED BY THE CANDIDATE

IN BLOCK LETTERS ONLY

Full Name of the Applicant

Applicant Phone No*

Applicant Phone No

E-mail ID*

E-mail ID

Aadhar ID

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Upload passport size photograph of the Applicant

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Date of birth*

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Caste/Tribe*

Nationality*

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Religion*

Religion

Father's name*

Father's name

Mother's name*

Mother's name

Occupation with full office address*

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Designation

Annual Income of family (authentic documents has to be provided when asked)*

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Contact no*

Contact no

Permanent Address*

House number

Address line one

Address line two

Country

State

Postal Code

Contact number*

Contact number

Extra Curricular Activity

For others (please specify)

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Address for correspondent*

House no

Address line one

Address line two

Country

State

Postal Code

Name of local guardian (for outstation students)

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Address of local guardian (for outstation students)

House no

Address line one

Address line two

Country

State

Postal Code

Contact no*

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Bank Details of the Applicant

Bank Name*

Bank Name

Branch name*

Branch name

Account no*

Account no

IFSC Code*

IFSC Code

Academic Details

Class & Course in which admission is sought*

Combination of subjects (in accordance with the schedule given on the prospectus)*

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Additional / Honours

Name School / College last attended*

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Year*

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Name of the Examination last passed *

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Name of Board / Council / University*

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Examination passed

HSLC / CBSE / ICSE Roll no*

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Subject taken*

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Division*

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Year of Passing*

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Total Marks obtained*

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Board/ University*

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Percentage*

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HSSLC/ CBSE Roll no*

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Subject taken *

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Division *

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Year of passiing*

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Total Marks obtained*

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Board/ University *

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Percentage *

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Registration No.(if any)

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DECLARATION BY THE STUDENT

The facts stated by me above are true to the best of my knowledge. If found otherwise my seat in the college will be forfeited. I Promise to abide by the rules and regulations of the college.

date and place*

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Full Signature of the Applicant

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DECLARATION BY THE PARENTS I GUARDIAN

I am Father/Mother/Local guardian of the candidate here by promise to extend all co-operation of the college authority in the manner of maintaining discipline and conduct in the college on the part of my daughter/ Niece

Date and place*

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Full Signature of the Parent / Local Guardian

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Documents to be uploaded

Documents to be uploaded: Self Attested scanned copy of Mark sheet & Admit card of HSLC and HS, Migration Certificate from other Council/ Board, Caste certificate or differently abled certificate, Gap certificate (for Gap year students only)

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DECISION OF THE ADMISSION COMMITTEE

ADMIT / NOT ADMIT /ADMIT PROVISIONALLY

CHAIRMAN

ADMISSION COMMITTEE

PRINCIPAL

DIGBOI MAHILA MAHAVIDYALAYA

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APPLICATION FORM FOR ADMISSION

B.A. 1st sem (For Other state, other board or gap year students)

TO BE FILLED BY THE CANDIDATE

IN BLOCK LETTERS ONLY

Upload passport size photograph of the Applicant

Bank Details of the Applicant

Academic Details

Examination passed

DECLARATION BY THE STUDENT

Full Signature of the Applicant

DECLARATION BY THE PARENTS I GUARDIAN

Full Signature of the Parent / Local Guardian

Documents to be uploaded

Documents to be uploaded: Self Attested scanned copy of Mark sheet & Admit card of HSLC and HS, Migration Certificate from other Council/ Board, Caste certificate or differently abled certificate, Gap certificate (for Gap year students only)

DECISION OF THE ADMISSION COMMITTEE

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