Admission Form

Junior College Admission Form

Admission For : * Existing Student Admission New Student Admission

GR Number *

Surname *

Student Name *

Father Name *

Mother Name *

Religion *

Caste *

Category *

Mother Tongue *

Place of Birth *

Date of Birth *

Day *

Month *

Nationality *

Gender *

Male Female Other

Last School Attended *

SSC Total Marks (MAX 500) *

SSC Percentage (MAX 100)*

Seeking admission for class *

* Passport Size Color Photo Only

S.S.C. Marsksheet *

Leaving certificate *

Birth Certificate

Caste Certificate

Aadhar Card (Front) *

Aadhar Card (Back) *

Handicap Certificate

Bank Details

Father Inforamtion

Qualification*

Occupation*

Monthly Income*

Mobile No*

Gmail*

Mother Inforamtion

Qualification*

Occupation*

Monthly Income*

Mobile No*

Gmail

Residential Address*

Compulsory Subjects
Sr.No	Subject	Code
1	English	01
2	Physics	54
3	Chemistry	55
4	Physical Education	30
5	Environment Education	31

Select Option 1:

Language Selection
Sr.No	Subject	Code	Tick
1	Hindi	04
2	Marathi	02

Select Option 2:
Group Selection
Sr.No	Groups	Tick
1	Mathematics
2	Biology

Mathematics Group
Select Any 1 Subject
Sr.No	Subject	Tick
1	Mathematics	Compulsory
2	Biology
3	Geography
4	Psychology
5	Computer Science
6	Electronics

Biology Group
Select Any 1 Subject
Sr.No	Subject	Tick
1	Biology	Compulsory
2	Mathematics
3	Geography
4	Psychology

Declaration:

I Mr. / Mrs. who is the parent / guardian of hereby promise to agree and abide by the rules as they are at present or will be introduced in the future.

I hereby undertake not to do anything either inside or outside the Junior College premises that will disturb the discipline of the Junior College. I promise to extend my full co-operation and support for the all round development of my child and for the welfare of the Junior College.

Place:Date:

Parents/Guardian Signature