St. Bede`s College, Shimla

Transcription

St. Bede`s College, Shimla
St. Bede's College, Shimla - 171 002
STUDENT INFORMATION SYSTEM (USE BLOCK LETTERS ONLY)
PHOTO
Admission No. ...................................
Admission Sought for Class.............................
F.No. ...............
AADHAR CARD No. :
FIRST NAME
MIDDLE NAME
LAST NAME
Name
Father's Name
Mother's Name
Date of Birth
Social Category
GENERAL
SC
ST
OBC
EX. SERVICEMAN
Religion
Himachali
Non-Himachali
Permanent Address
C I
T Y
RURAL
S T A T E
PIN CODE
URBAN
Correspondence Address
PIN CODE
Student
Phone No.
Student
E-mail Id
Blood Group
Disability If Any
Subject to be Taken in Ist Semester
Stream : Sciences
BBA
BCA
Humanities
B.Com
Home Science
B.Sc. (Hons) Biotechnology
1)
2)
3)
4)
Honours
B.Sc. (Hons)Microbiology
School Last Attended
Details
Exam Passed
Month
Marks Obt.
%
Subject Taken
Roll No.
Board
Class X
Class XII
Others
Original Migration Certificate to be submitted in the Office within 10 days after Admission
Father's Occupation
Govt.
Private
Department
Office Address
P H O N
Mother's Occupation
House Wife
E
Working
Office Address
P H O N
E
Parents Bank Account Detail (For Security Refund)
Bank A/c No.................................................................................
Account Holder's Name................................................................
Bank Branch & Address...............................................................
IFSC Code...................................................................................
Attach cancelled Cheque
Student's Signature
Parent/Guardian Signature
Name of Teacher........................... Signature..................................
FOR OFFICE USE ONLY
Remarks of the Principal :
Fees paid to ICICI/HDFC Bank Shimla on
Sign.
Rs.
Remarks:
Dealing Asst.
Dated
Sign.