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    Sri Chaitanya Junior College

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    BHAVANI VISWANATH
    This document is an application for admission to Sri Chaitanya Junior College. It requests information such as the applicant's name, date of birth, address, education details, subject choices, and signatures agreeing to abide by college rules. The applicant and parent pledge that the information provided is accurate to the best of their knowledge. Space is included for photos of the applicant and parent signature.

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    Sri Chaitanya Junior College

    Uploaded by

    BHAVANI VISWANATH
    2K views1 page
    This document is an application for admission to Sri Chaitanya Junior College. It requests information such as the applicant's name, date of birth, address, education details, subject choices, and signatures agreeing to abide by college rules. The applicant and parent pledge that the information provided is accurate to the best of their knowledge. Space is included for photos of the applicant and parent signature.

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    Fgyt

    Original Title

    05137

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    This document is an application for admission to Sri Chaitanya Junior College. It requests information such as the applicant's name, date of birth, address, education details, subject choices, and signatures agreeing to abide by college rules. The applicant and parent pledge that the information provided is accurate to the best of their knowledge. Space is included for photos of the applicant and parent signature.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views1 page

    Sri Chaitanya Junior College

    Uploaded by

    BHAVANI VISWANATH
    This document is an application for admission to Sri Chaitanya Junior College. It requests information such as the applicant's name, date of birth, address, education details, subject choices, and signatures agreeing to abide by college rules. The applicant and parent pledge that the information provided is accurate to the best of their knowledge. Space is included for photos of the applicant and parent signature.

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    of 1

    APPL. NO. : Admn. No.

    SRI CHAITANYA JUNIOR COLLEGE


    COLLEGE CODE: 05137
    RC. NO. : 009/NJC/E1-2/KR/2013-14 DATED 28/08/2013
    PUNADIPADU, KANKIPADU MANDAL KRISHNA DT – 521 151
    APPLICATION FOR ADMISSION INTO I / II YEAR INTERMEDIATE.........................

    1. Name of the Applicant in Full : ..................................................................................


    (in Block Letters with surname)

    2. Name of the Parent / Guardian :.............................................................


    3. Name of the Mother :............................................................. Photo to be
    Affixed
    4. Occupation and Annual income of here
    Parent / Guardian................................... .............................................

    5. Full Postal Address of Parent / Guardian (in Block Letters)


    Name :............................................................................................
    Door. No :...................................Street/Colony......................................
    Station : (P.O.).........................District :...............................................
    Photo to be
    Pin Code :....................................Phone : ............................................... Signature of the Candidate
    affixed
    6. Date of Birth :...................... Mother tongue :.................................... here
    (as per S.S.C.)

    7. Place of Birth :.......................... District ................................ State ......................................

    8. Nationality ............................. Religion ............................... Caste : SC/ST/BC/OC


    Adhar UID No ___________________________ Sub Caste : ……………….

    9. DETAILS OF QUALIFYING EXAMINATION


    a) Month and Year of Passing S.S.C./C.B.S.E/I.C.S.E/A.I.S.S.E/A.I.S.L.C. :........................................
    b) Name of the School and Place where Studied : ............................. ...................................
    c) Marks Obtained in ( I ) English :...............( II ) Telugu :.....................( III ) Hindi : ....................
    (IV) General Science :..................(V) Mathematics :...................(VI)Social..................Total ..................

    10. Subjects Proposed for Study in Intermediate :


    MPC
    Telugu
    Language :.......................... Group :...................BIPC Medium :
    (under part II) (under part III) English
    MEC

    I promise to abide by the Rules, Regulations and orders of the Board of Intermediate Education and the
    College, its authorities and officers during my tenure in the institution.

    Date :.......................... Signature of the Candidate


    I agree to applicant’s admission in this college. I shall be responsible for the payment of her fee and other
    charges. I shall be responsible for her conduct and good behaviour during the period of her stay in this institution. I
    declare that the statements made in this application are true and correct to the best of my knowledge.

    Date : .................... Signature of the Parent/Guardian


    Remarks :-
    PRINCIPAL

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