Weather SC/ST/PH/ General ( If SC/ST/ PH , attach certificate from 06. appropriate authority) Name of farther/guardian 07. Address of father/guardian: 08. E MAIL – Mobile phone number: CATEGORY : Non-sponsored / Sponsored (if sponsored, give the name of the sponsoring organization/mill with address, 09. email and phone no. and also attach the letter of sponsorship) 10. Academic record* Division/ % of Examination Board/University Year Subjects Class Marks Madhyamik or Equivalent Higher Secondary or Equivalent B.Sc. or Equivalent Any other 11. Working experience*, if any Organization Length of service Type of experience Yes No 13. Whether applying also for TFW Seats / NJB Scholarship / JCI If separate application is ‘Yes’, Scholarship to be made after admission. 14.Number and List of Testimonials attached The details given above are true and correct to the best of my knowledge. If any information given by me above, is found incorrect, my admission may be cancelled immediately. ……..…………………….……… Date: Signature of the Candidate Place: *Self - Attested copies of all testimonials and relevant certificates are to be attached with the application form.
06. Weather SC/ST/PH/ General ( If SC/ST/ PH , attach certificate from appropriate authority) 07. Name of farther/guardian 08. Address of father/guardian: E – MAIL Mobile phone number: 09. CATEGORY : Non-sponsored / Sponsored (if sponsored, give the name of the sponsoring organization/mill with address, email and phone no. and also attach the letter of sponsorship) 10. Academic record* Examination Board/University Year Division/ Class % of Marks Subjects Madhyamik or Equivalent Higher Secondary or Equivalent B.Sc. or Equivalent Any other 11. Working experience*, if any Organization Length of service Type of experience 13. Whether applying also for TFW Seats / NJB Scholarship / JCI Scholarship Yes No If ‘Yes’, separate application is to be made after admission. 14.Number and List of Testimonials attached The details given above are true and correct to the best of my knowledge. If any information given by me above, is found incorrect, my admission may be cancelled immediately. ……..…………………….……… Date: Signature of the Candidate Place: *Self - Attested copies of all testimonials and relevant certificates are to be attached with the application form.