ADMISSION ENQUIRY FORM


Academic Year (2020-21)

Student Name * :
Date of Birth * :
Age * :
Gender * :
Religion * :
Caste * :
Community * :
Admission sought for classes * :

Education Qualification * :
SSLC HSC/ITI
1. Name of the School / College
2. Register Number
3. Marks Obtained
4. Year of Passing
5. Group Name -
Physically Challenged * :
Place * :
District * :
Name of the Father * :
Father's Occupation * :
Father's Monthly Income (For statistical purpose only) * :
Name of the Mother * :
Mother's Occupation * :
Mother's Monthly Income (For statistical purpose only) :
Name of Brother/Sister if any studying in this college :
Name Relationship Course Studying
1.
2.
3.
Permanent Address * :
Temporary Address * :
Phone No. :
Mobile No. * :
Alternative Mobile No. :
E-mail * :
Referred by :