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Name Date of Birth Caste

Father's Name Mother's Name Guardian's Name
Phone No:[Parent/Guardian] Guardian's Occupation Guardian's Monthly Income
Father's Qualification Mother's Qualification Ration Card
Blood Group Your Mobile No Your email
This is extremely important for getting information/SMS notice from college. Retain this number through the entire admission process
Adhaar Card Number Whether First Generation Learner Your Marital Status
Religion Gender Person with Disability (40% & Above)

Nationality Domicile Category Address for verification
Pin Code State District (Others for Outside West Bengal)
Country HS/ 10+2 level Board HS/ 10+2 Roll Number
No space, comma underscore or any special char allowed
HS/ 10+2 Streams Year of Passing (HS/ 10+2 level) HS/ 10+2 level Registration No.
Candiates passing out in 2014/ 15/ 16 can apply to General Course Only
10+2 School Name 10+2 School Address Interested in NCC/NSS
Passport Size photographs of the Candidate Original Admit Card of Madhyamik Pariksha or its equivalent examination for verification Original Mark sheet of Higher Secondary or its equivalent examination for verification

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Caste Certificate of the Candidate (only for SC/ST/OBC-A and OBC-B Candidate whose Caste Certificate is Issued in West Bengal) PWD Certificate (Only for Physically handicapped Candidates) Migration/School Leaving cerificate

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Max 50 KB (JPG/ GIF/ PNG format)

Max 50 KB (JPG/ GIF/ PNG format)
Your Marksheet (10+2 level)
Vocational Student should select Subject as English instead of ENG2/ Equivalent subjects
% of Marks
Full Marks Pass Marks Your Marks Full Marks Pass Marks Your Marks

Best 4 %

Best 4 Total

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Streams Programs Subject
1st Subject
2nd Subject
Add On Courses for Career Opportunity (Select Maximum One)
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