Shri Jain College Kekri - Excellence in Education Since 2006

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Registration No: _____________________

SHRI JAIN COLLEGE, KEKRI

(Affiliated to Maharshi Dayanand Saraswati University, Ajmer)

APPLICATION FORM

(USE CAPITAL LETTERS ONLY)

Program Details

Program / Course *

Part *

Enrollment No. (If already enrolled)

Personal Information

1. Name of Student * (Mr./Mrs./Miss)

2. Father's Name * (Shri)

3. Mother's Name * (Smt.)

4. Date of Birth *

Sex *

6. Aadhaar No. *

8. Category *

Minority

5. Postal Address

City *

Tehsil *

District *

State *

Pincode *

Mob. No. (Student) *

Mob. No. (Parent) *

10. Academic Qualification (12th to last exam)

Examination	Board / University	Year	Subjects	Div.	%
1. Senior Sec.
2. Part-I
3. Part-II

DECLARATION

I have carefully gone through the rules and regulations of the college and promise to abide by them. I also assure that I have filled all related information in the form correctly. I would be responsible for the consequence if the information filled by me is found incorrect.

I hereby agree to the declaration statement.

Signature of Parent: __________________

Signature of Student: __________________

Online Admission Form