Sripat Singh College
Jiaganj * Murshidabad

APPLICATION FORM FOR PROGRAMME COURSES
Select Course For Application:
Core Subject 1 :
Core Subject 2 :
Core 3 /Generic Elective :
Language Core :
AECC (AECC1,AECC2):
   
• MARKS DETAILS (Mark sheet)•
Board:
Year of passing: Roll No: Reg. No: Reg.year:
School From Where Last Examination Passed :


Very carefully enter Subjects & Marks below as per your Marksheet of the last examination

MARKSHEET
Subjects Theory Full Marks Theory Marks Obtained Practical & Project Full Marks Practical & Project Marks Obtained Full Marks Marks Obtained
1
2
3
4
5
6
7
APPLICANT'S BIODATA
Applicant's Personal Information
Name
Mobile Number * OTP & other informations will be sent to this number.
It should be candidates own number.
e-Mail ID
AADHAR NO.
Date of Birth
Gender
Blood Group
Nationality
Father's Name
Father's Educational Qualification
Father's Occupation
Mother's Name
Mother's Educational Qualification
Mother's Occupation
Religion
Caste
Physically Challenged
Depends on Subject.
Sports Quata
Depends on Subject.
Family Income Per Year
Whether BPL Or ANTODAYA
 

If yes Card No :


Contact Details
PERMANENT
Address
District
PIN
State
Present As Permanent
Address
District
PIN
State

Guardian's Information
Guardian's Name
Relation
Qualification
Occupation
Address
District
PIN
State
Phone

 
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# I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, my application may be rejected at any point of time.