Adarsh Group of Institution | Application Form

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Application Form for

Application Form

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:

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