Trial 3rd Sem – Luitparia College, Alopati , Barpeta

ADMISSION FORM 3rd SEM

:PERSONAL DETAILS:

Name of Student

Name of Father

Name of Mother

Sex

Date of Birth

Caste

Nationality

Phone Number

Religion

PwD (Person with Disability)

Yes

Do you belongs to EWS?

Yes

Bank Account No

Name of Bank

IFSC NO

Branch Name

Unique ID

:ADDRESS FOR COMMUNICATION:

Address1

Address2

Village

Post Office

Police Station

District

State

:DETAILS OF EXAMINATION PASSED:

Name of Semester

Select Course

Council/Universiy

Registration Number

Year

Roll

Year of Pass

DO YOU MIGRATED FROM OTHER COLLEGE?

Yes

Name of Institution Last Studied

Address of the Institution

:MARKS OBTAINED IN LAST QUALIFYING EXAMINATION:

Honours Subject

Subject Code

Paper Credit

Credit Point

AECC

Subject Code

Paper Credit

Credit Point

Generic Elective

Subject Code

Paper Credit

Credit Point

Compulsory Subject

Subject Code

Paper Credit

Credit Point

Core Course2

Subject Code

Paper Credit

Credit Point

Core Course2

Subject Code

Paper Credit

Credit Point

AECC

Subject Code

Paper Credit

Credit Point

Total PC

Total CP

SGPA

Result

:ADMISSION SOUGHT:

Select Semester

Select Course

Honours Subject

SEC

Generic Elective

Compulsory Subject

SEC

Core Course 2

Core Course1 (CC)

DECLARATION:

The above cited facts are true to the best of my knowledge, moreover I shall abide by the rules, regulations and order laid down by the principal of the college, the breach of which would make me liable to disciplinary action by the College authority.

I, parent/guardian of the student declare that I hav gone through the Prospectus thoroughly. If my wards is admitted to the college, I shall responsible for his/her conduct, regular attendance and payment of dues the college. Further I shall attend the Guardian Meeting regularly as and when called for.