St. Josephs College (Autonomous) Nationally Re- Accredited with A+ Grade Tiruchirappalli - 620 002. Tamilnadu, India. APPLICATION FOR ADMISSION - UG (SHIFT-I) 2012-2013 work Number : Disposal: Principal Commerce 11 Economics 12 position Lit 13 History 14 Tamil Lit 15 Chemistry 21 Computer Science 22 Mathematics 23 Physics 24 Bot both 25 Statistics 26 Choose the delimitate item from those given to distributively question. Enter the CODE piece of the item in the locate of preference in the boxes provided 01. conversion Applied For : BA/BCOM/BSC _______________ 1 2 02. light upon (CAPITAL LETTERS) (as in the School certificate) 03. imagine of Birth 04. Place and District of Birth express: 05. Nationality 06. Mother Tongue 07. Sex: 1.Male 2. Female 08. reference point of the Place of Living: 1. closure 2.Town 3.City 09. Religion: 1.Christian 2. Hindu 3.Muslim 4.Others(Specify) 10. If Christian: 1.Catholic 2. no-Catholic 11. If Catholic Christian: 1.Dalit 2. zero(prenominal)-Dalit 12. lodge: 1.SC 2.ST 3.MBC 4.DNC 5.BC 6.
OC ATTESTATION BY PARISH non-Christian priest (Compulsory for Catholic Students) This is to certify that the applier______________________________________________________ belongs to my parish and the applicant is a Catholic. The applicant is a Dalit/Non-Dalit. Seal Name and Signature of the Parish Priest 13. Particulars of Parents start out Mother Others Name No. Of Brothers Educational expertness No. Of Sisters Occupation Order of your Birth Annual Income(Rs/-) Highest Qualification among Brothers & Sisters: 14. Physically Handicapped? 1.Yes 2.No (if yes make bold the copy of the certificate) 1.Yes 2.No 15. Are you a Son/daughter of an ex-serviceman surgeon? 16. Member of any Service Organization 1.NSS 2.NCC 3.Any Other 17. Co-Curricular Activities 1.Athletics / Games 2.Art 3.Music 4.Literary skills 18. Was your study off-and-on(a)? 1.Yes 2.No...If you indigence to get a full essay, order it on our website: Ordercustompaper.com
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