Online Admission Form

APPLY ONLINE (FYJC 2022-2023)

Check Your Form Status

asterisk (*) marked fields are mandatory Reference Number : 0

Academic Year

Admission for *

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

WhatsApp Number *

Contact Number *

Email *

Parent / Guardian Detail *

Father Name *

Father Phone *

Father Occupation

Father Education

Mother Name *

Mother Phone

Mother Occupation

Mother Education

Emergency Contact * Father Mother Other

Guardian Name *

Guardian Relation *

Guardian Phone *

Current Address *

Pincode *

Locality

Permanent Address *

Same as Current Address

Pincode *

Locality

asterisk (*) marked fields are mandatory Reference Number : 0

Place of Birth (District)

Place of Birth (State)

Place of Birth (Country)

Nationality

Aadhar Number

Mother Tongue

Blood Group

Religion

Caste

Marital Status

Whether Belongs to BPL

Annual income from all sources (INR)

Different Abled

Extra Curricular Activity

Only Image file (jpg, png, jpeg) upto 500KB size is allowed

Upload Photo *

Upload Aadhar Card

Upload Caste Certificate

Upload Age Proof Certificate

Upload Migration Certificate

Upload BPL Certificate

Upload Handicap/Disability Certificate

Upload Parent Signature

Upload Student Signature

asterisk (*) marked fields are mandatory Reference Number : 0

Previous School Name

Upload leaving/transfer certificate

Academic Details *

Roll Number *

Year of Passing *

Learning Mode *

Medium *

Board *

Institute/School Name *

Marks Obtained *

Total Marks *

Percentage *

CGPA

Grade

Upload SSC / 10th / Equivalent Marksheet *

Stream *

Roll Number *

Year of Passing *

Learning Mode *

Medium *

Board *

College Name *

Marks Obtained *

Total Marks *

Percentage *

CGPA

Grade

Add Marks

Subject	Total Marks	Marks Obtained	Action

Upload Graduation / Final / Equivalent Marksheet

Declaration

I declare that all the information furnished above are true and correct and the documents furnished along with the form are genuine and that if any of the information or documents furnished proves to be materially false or incorrect, either wholly or partly, University may cancel my admission and take such other action as may be deemed fit. I do also declare that I will submit the documents supporting any other information provided in this form whenever will be asked by the college authority or University.

APPLY ONLINE (FYJC 2022-2023)

Parent / Guardian Detail *

Academic Details *

SSC / 10th / Equivalent details

Graduation / Final / Equivalent details

Declaration