STD XI - J.M.Patel Jr. College of Arts, Commerce, Science & Vocational, Bhandara.
XI Std.ADMISSION FORM - 2020-21

College email Id- jmpateljrcollegebhandara@gmail.com
Fill all the Fields Carefully. Fill Separate Form for each Course if you want to apply for more than one Course)
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NAME OF COURSE (Click on the Course that you want to apply. PLZ NOTE - Fill Separate Form for each Course) *
Name of Student in Full (As per Leaving Certificate) (write in CAPITAL LETTERS) *
Father's Name *
Mother's Name *
E-Mail ID *
Mobile No. (Student)
Mobile No. (Parent) *
Address *
PIN CODE
Adhar Card No. *
Date Of Birth *
DD
/
MM
/
AAAA
Caste *
Category *
10th Std.(SSC) - Marks Obtained *
10th Std.(SSC) - Out Of (Total Marks) *
Percentage - SSC *
SSC Roll No./Seat No.
YEAR OF PASSING SSC
Whether ATKT or Pass
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NAME OF BOARD - SSC *
Last School Attended *
Last School Address *
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