College Admission Form Name of the Student: Apply for: BCA I YearBCA II YearBCA III Year Upload Student Photo: Date of Birth: Gender: MaleFemale Mother Tongue: * Nationality: * Religion: * Select Category: * GeneralSCSTOBC Enclose Photo Copy of Caste Certificate: * Mobile No :* Email Id: * Student Aadhaar Number: * Last College attended Name with Address: * DETAILS OF PREVIOUS EXAMINATION PASSED: a) Month & Year of Passing: * b) State from which passed: * c) Medium: * d) Registration Number: * e) Total Marks: * f) Percentage of Marks: * g) Name of the Board: * PARTICULARS OF PARENTS: Fathers Name : * Fathers Occupation: * Fathers Annual Income: * Fathers Aadhaar Number: * Mothers Name: * Mothers Occupation: Mothers Annual Income: Mothers Aadhaar Number: Parents Address: Parent Mobile Number: * DECLARATION BY THE APPLICANT: I have read and i am fully conservant with all the rules and regulations of the college printed in the prospectus. In case of violation of any rule, the college is free to initiate disciplinary action against me and even cancel my admission. I am fully aware that Receipt of Application from does not confirm the Admission. DECLARATION BY THE PARENT/GUARDIAN: I am aware that the institution has right to cancel the admission of Son / Daughter / Ward for his / her any act of indiscipline. Place:* Date:*