Adarsh Group of Institution | Application Form

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Application Form for

Application Form

Name of the applicant :	*

Father's Name :	*

Mother's name :	*

Date of Birth :	*

Place of Birth :	*

Mail Id :	*

Sex :	*

Nationality :

Caste :

Category :

Annual Income :	*	(Certificate from proper authority to be enclosed if belonging to BC/BT/SC/ST)

Professional Details :

Name of the institution last attended :	*

TC No :	*	TC Date :	*

Particulars of the previous examination passed

Year :	*	Class :	*

Reg. No. :	*	Result :	*

Percentage of Marks :	%*(Min 30%)

Language(s) selected :

Part I :	*	Optionals :	*
			*

Contact Details :

Permanent Address :

Country :

State :

City :	*	Phone / Mobile :	*

Extra Curricular Activities :

(i.e, Literary, Union Debate, Social Service, etc,.)

Declaration :

Notes:

Admission is provisional, subject to approval by the Pre-University Board/Bangalore University.

Photo copies of the Transfer Certificate & the Marks Card should accompany the completed Application Form.

The Originals must be produced without fail at the time of admission.

Students from outside Universities should enclose Migration Certificate.

Admission is granted subject to submission of all certificates required as per the rules of the Pre-University Board / Bangalore University.

DECLARATION BY THE CANDIDATE

I, * promise to abide by the Rules, Regulations & Orders of the Board and the Department of Public Instruction.

I hereby agree to undergo the NCC/Physical/Cultural training prescribed during the period of my study in the college.

I agree to fullfill the condition of 75% attendance in all the classes and attend all the examinations conducted by the college.

I also declare that the statement made in the Application Form are correct and true to the best of my Knowledge.

Name of the Candidate