The Study Hall College Enquiry Form

PHYSICAL STANDARD


GENDER


Male Female

CATEGORY


GEN ST SC OBC

NATIONALITY


Indian Others

PROGRAM APPLYING FOR
(You may be offered option-2 in case you do not qualify for option-1. Choose option-2 from list of programs under same eligibility. Refer Admission Prospectus - 2016 for program code)


 

DATE OF BIRTH
(as in candidate's class X marksheet or equivalent certificate)


   

ADMISSION CATEGORY
(Refer admission prospectus - 2016 for Fee and Category specification)


Non-Sponsored Sponsored Company Sponsored NRIForeign

HOSTEL ACCOMMODATION
(Please tick)


Yes No (If Yes ) AC Non-AC

Contact Numbers


 

Write your complete Correspondence Address


Educational Qualifications
(It is mandatory to fill all details of educational qualification (as applicable) from class X onwards till last completed semester/year. if the system of marking of your school/college is on grading pattern, convert grade into marks as applicable and fill in the respective columns. In absence of complete information, form will be rejected. )


CLASS X

BoardCBSE ICSENIOSOthersPassing Year

CLASS XII

BoardCBSE ICSENIOSOthersPassing Year
Medium Of InstructionEnglish HindiOthers

CLASS XII BOARD RESULT DETAILS
(Provide Details of minimum 5 academic subjects as in class XII marksheet)


     
   
   
   
   
   

Mode Of StudyFull Time Part TimeCorreepondence
Scale used in case of SGPA/CGPA

AWARDS/ACHIEVEMENT(if any , latest Two) Proof will be verified on the day of selection
(Provide Details of minimum 5 academic subjects as in class XII marksheet)


   
  
  

Father   
Mother  

Family at the study hall college ,Association of any family member with college
Employee StudentAlumni
Duration  

Your relationship (Please tick)

Grandparent ParentSpouseSibling