Admission Registration Form – K.L.E. Degree College

ADMISSION REGISTRATION FORM

COLLEGE ADMISSION FORM

Name of the Student (as per 10th marks card): *
Apply for: B.Com I YearB.Com II YearB.Com III Year
Upload /student Photo: *
Date of Birth: *
Gender: MaleFemale
Mother Tongue: *
Nationality: *
Religion: *
Select Category:
Enclose Photocopy of Caste Certificate: *
Mobile Number: *
Email Id: *
Student Adhar Number:
Last College Attended with Name & Address:

DETAILS OF PREVIOUS EXAMINATION PASSED:
Month & Year of Passing: *
State from which passed:
Medium: *
Registration Number: *
Total Marks: *
Percentage of Marks: *
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 Aadhar Number: *
Parents Address: *
Parents 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 voilation 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 form 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: *