{"id":2480,"date":"2022-04-28T13:02:52","date_gmt":"2022-04-28T13:02:52","guid":{"rendered":"https:\/\/kledegreecollegegokak.edu.in\/?page_id=2480"},"modified":"2022-11-15T17:03:02","modified_gmt":"2022-11-15T17:03:02","slug":"admission-registration-form","status":"publish","type":"page","link":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/admission-registration-form\/","title":{"rendered":"Admission Registration Form"},"content":{"rendered":"<p>[vc_row][vc_column][vc_column_text]<\/p>\n<h4><strong><span style=\"color: #242c5e;\">ADMISSION<\/span> <span style=\"color: #d74516;\">REGISTRATION FORM<\/span><\/strong><\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-217\" style=\"margin-top: -25px;\" src=\"https:\/\/kledegreecollegegokak.edu.in\/wp-content\/uploads\/2022\/05\/Hor-Line-Img.png\" alt=\"\" width=\"190\" height=\"8\" \/><\/p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2862-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2862\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/2480#wpcf7-f2862-o1\" method=\"post\" class=\"wpcf7-form init cf7skins cf7s-pina-colada\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2862\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2862-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<fieldset>\n\t<legend style=\"background: #d74516;\"><strong><span style=\"font-size: 19px;\">COLLEGE ADMISSION FORM<\/span><\/strong><\/legend>\n\t<ol>\n                <li><label for='text-799'>Name of the Student (as per 10th marks card): <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-799\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required JVrangelength-5-20 letters_space\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-799\" \/><\/span><\/li>\n                <li><label for='radio-403'>Apply for: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-403\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-403\" value=\"B.Com I Year\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">B.Com I Year<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-403\" value=\"B.Com II Year\" \/><span class=\"wpcf7-list-item-label\">B.Com II Year<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-403\" value=\"B.Com III Year\" \/><span class=\"wpcf7-list-item-label\">B.Com III Year<\/span><\/label><\/span><\/span><\/span><\/li>\n                <li><label for=''>Upload \/student Photo: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"file-897\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\".jpg,.jpeg\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"file-897\" \/><\/span><\/li>\n                <li><label for='text-69'>Date of Birth: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-69\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-69\" \/><\/span><\/li>\n                <li><label for=''>Gender: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-84\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-84\" value=\"Male\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-84\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><\/span><\/span><\/li>\n                <li><label for=''>Mother Tongue: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-888\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required letters_space\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-888\" \/><\/span><\/li>\n                <li><label for=''>Nationality: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-237\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required letters_space\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-237\" \/><\/span><\/li>\n                <li><label for=''>Religion: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-185\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required letters_space\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-185\" \/><\/span><\/li>\n                <li><label for=''>Select Category: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"menu-926\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"menu-926\"><option value=\"GM\">GM<\/option><option value=\"SC\">SC<\/option><option value=\"ST\">ST<\/option><option value=\"Cat-I\">Cat-I<\/option><option value=\"OBC (2A, 2B, 3A, 3B)\">OBC (2A, 2B, 3A, 3B)<\/option><\/select><\/span><\/li>\n                <li><label for=''>Enclose Photocopy of Caste Certificate: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"file-930\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"file-930\" \/><\/span><\/li>\n                <li><label for=''>Mobile Number: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-869\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel digits\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-869\" \/><\/span><\/li>   \n                <li><label for=''>Email Id: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"email-495\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email emailVerify\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-495\" \/><\/span><\/li>\n                <li><label for=''>Student Adhar Number: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-966\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text letters_space\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-966\" \/><\/span><\/li>\n                <li><label for=''>Last College Attended with Name & Address: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-31\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea alphanumeric\" aria-invalid=\"false\" name=\"textarea-31\"><\/textarea><\/span><\/li>\n    \n                <p><li><strong>DETAILS OF PREVIOUS EXAMINATION PASSED:<\/strong><\/li>\n                <li><label for=''>Month & Year of Passing: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-742\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required letters_space\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-742\" \/><\/span><\/li>\n                <li><label for=''>State from which passed: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-911\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text letters_space\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-911\" \/><\/span><\/li>\n                <li><label for=''>Medium: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-68\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required digits\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-68\" \/><\/span><\/li>\n                <li><label for=''>Registration Number: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-332\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel digits\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-332\" \/><\/span><\/li>\n                <li><label for='number-743'>Total Marks: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"number-743\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number digits\" min=\"1\" max=\"600\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-743\" \/><\/span><\/li>               \n                <li><label for=''>Percentage of Marks: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"number-703\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-703\" \/><\/span><\/li>\n                <li><label for=''>Name of the Board: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-637\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-637\" \/><\/span><\/li>\n                \n                <p><li><strong>PARTICULARS OF PARENTS:<\/strong><\/li><\/p>\n                <li><label for=''>Fathers Name: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-39\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required digits\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-39\" \/><\/span><\/li>\n                <li><label for=''>Fathers Occupation: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-511\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required alphanumeric\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-511\" \/><\/span><\/li>\n                <li><label for=''>Fathers Annual Income: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-55\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-55\" \/><\/span><\/li>\n                <li><label for=''>Fathers Aadhaar Number: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-560\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-560\" \/><\/span><\/li>\n                <li><label for=''>Mothers Name: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-57\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-57\" \/><\/span><\/li>\n                <li><label for=''>Mothers Occupation: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-58\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-58\" \/><\/span><\/li>\n                <li><label for=''>Mothers Annual Income: <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-59\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-59\" \/><\/span><\/li>\n                <li><label for=''>Mothers Aadhar Number: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-60\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-60\" \/><\/span><\/li>\n                <li><label for=''>Parents Address: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-796\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"textarea-796\"><\/textarea><\/span><\/li>\n                <li><label for=''>Parents Mobile Number: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-61\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-61\" \/><\/span><\/li>\n\n                <p><li><strong>DECLARATION BY THE APPLICANT:<\/strong><\/li>\n                <li><label for=''><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-158\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-158[]\" value=\"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.\" \/><span class=\"wpcf7-list-item-label\">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.<\/span><\/label><\/span><\/span><\/span><\/li>\n\n                <p><li><strong>DECLARATION BY THE PARENT \/ GUARDIAN:<\/strong><\/li>\n                <li><label for=''><\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-159\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-159[]\" value=\"I am aware that the institution has right to cancel the admission of Son \/ Daughter \/ Ward for his \/ her any act of indiscipline.\" \/><span class=\"wpcf7-list-item-label\">I am aware that the institution has right to cancel the admission of Son \/ Daughter \/ Ward for his \/ her any act of indiscipline.<\/span><\/label><\/span><\/span><\/span><\/li>\n                <li><label for=''>Place: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-62\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-62\" \/><\/span><\/li>\n                <li><label for='text-69'>Date: <em class=\"cf7s-reqd\">*<\/em> <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"text-69\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-69\" \/><\/span><\/li>\n<\/ol>\n\t<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/fieldset><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] ADMISSION REGISTRATION FORM [\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2480","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/pages\/2480","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/comments?post=2480"}],"version-history":[{"count":6,"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/pages\/2480\/revisions"}],"predecessor-version":[{"id":2878,"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/pages\/2480\/revisions\/2878"}],"wp:attachment":[{"href":"https:\/\/kledegreecollegegokak.edu.in\/index.php\/wp-json\/wp\/v2\/media?parent=2480"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}