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Application Form College

This document is an application form for admission to degree courses at Sri Sai Degree College in Bobbili, affiliated with Andhra University. The form collects applicant details like name, address, contact information, educational qualifications, caste, and course preferences. It includes declarations that the applicant will abide by college rules and the information provided is accurate. The parent guarantees payment of fees and good conduct. The form is signed by both applicant and parent.

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Sri Sai Degree College Bobbili
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653 views3 pages

Application Form College

This document is an application form for admission to degree courses at Sri Sai Degree College in Bobbili, affiliated with Andhra University. The form collects applicant details like name, address, contact information, educational qualifications, caste, and course preferences. It includes declarations that the applicant will abide by college rules and the information provided is accurate. The parent guarantees payment of fees and good conduct. The form is signed by both applicant and parent.

Uploaded by

Sri Sai Degree College Bobbili
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Regd.

No: Application No:

(For Office Use Only) Ph: 08944 253729

SRI SAI DEGREE COLLEGE - BOBBILI


( A f f i l i a t e d t o A N D H R A U n i v e r s i t y )
APPLICATION FORM FOR ADMISSION TO THE BELOW DEGREE COURSE FOR 20____ - ___
B.Sc. (M.P.C) B.Sc. (M.P.Cs) B.Sc. (M.S.Cs)
B.Sc. (B.Z.C) B.Com (Gen) B.A. (H.E.P)
Medium Telugu English

1. Full Name (In BLOCK Letters Only)(As Per SSC)


_____________________________________________________________
2. Fathers/ Guardians Name (In BLOCK Letters Only)
_____________________________________________________________
3. Mothers Name (in BLOCK Letters)
_____________________________________________________________
4. Permanent Postal Address:
D.No : ____________________ Street : _______________________
Village / Town: ____________________ Mandal : _______________________
District : ____________________ State : _______________________
Mobile : ____________________
5. Present Address for Correspondence:
D.no : ____________________ Street : _______________________
Village / Town: ____________________ Mandal : _______________________
District : ____________________ State : _______________________
6. Telephone : ____________________ Mobile : _______________________
7. Date of Birth :____/_____/__________ Age : ______________ Years
8. Sex : Male Female
9. Caste : SC ST BC-B BC-C BC-D BC-E OC
BC-A
Sub Caste: _______________________
10. Mother Tongue: _____________________ Nationality : _______________________
11. Marital Status : Married Unmarried Place of Birth : _______________________
12. Identification Marks (Moles): 1.
2.
13. Occupation of the parent : ____________________ Annual Income: _______________________
14. Aadhar Card Number :
15. Particulars of qualifying examination:
Name of the examination passed : Month and year of passing :
Marks obtained : Total Marks :
Optional Subjects : Name of the college :
16. Particulars of SSC examination:
Hall Ticket No :
Year of Pass : Pass Type : Regular / Supply
Marks obtained : Total Marks :

17. Optional Subjects Proposed to be taken:

Group and Subjects:


Medium :
Second Language :

I promise to abide by the rules, regulations and orders of the college and university in authorities and
officials. I also declare that the statements I have made in this application form are correct.

Date: Signature of the candidate

I agree to the applicants admission to the ________________________________________________


course in your college. I shall responsible for the payments of all his / her fees and other charges. I shall also
responsible for his / her conduct good behaviour the period of his / her college career.

Mobile Number of Parent / Guardian:

Date: Signature of the Parent / Guardian

DECLARATION

As per Government of Andhra Pradesh, Andhra Pradesh State Council of Higher Education, Andhra
University, BC / SC / ST and Minority welfare Departments and G.O. No. 103, the scholarship eligible
candidates must give the attendance through bio-metric machine and shall secure 75% attendance each
month. We are willing for the above and if unable to secure those attendance percent i.e. 75%, we shall pay
the fee as per RTF i.e. fixed by the Government.

Signature of the Student Signature of the Parent / Guardian

The candidate is admitted into _________________________________ (_______________) Year during


__________________.
SRI SAI DEGREE COLLEGE-BOBBILI
( A f f i l i a t e d t o A N D H R A U n i v e r s i t y )

Not just for a G R A D U A T I O N Join for a Q U A L I T Y E D U C A T I O N


1. To Maintain Highest Standards of Academic Quality
2. Efficient and Experienced Faculty Team
3. Regular Practical Work Along With Class Work from the Beginning of Academic Year
4. Separate Classes For Telugu and English Medium Students
5. Separate Classes For Each Section and Each Section With Limited Students Only.

A v a i l a b l e C o u r s e s :

B.Sc. (MATHEMATICS, PHYSICS, CHEMISTRY)


B.Sc. (MATHEMATICS, PHYSICS, COMPUTER SCIENCE)
B.Sc. (MATHEMATICS, STATISTICS, COMPUTER SCIENCE)
B.Sc. (BOTANY, ZOOLOGY, CHEMISTRY)
B.Com.
B.A. (HISTORY, ECONOMICS , P OLITICS )

Regd.No: Application No:


(For Office Use Only) Ph: 0 8 9 4 4 2 5 3 7 2 9
Cell: 9 4 4 0 9 2 1 8 5 5

SRI SAI DEGREE COLLEGE -BOBBILI


( A f f i l i a t e d t o A N D H R A U n i v e r s i t y )
ACKNOWLEDGMENT
Received the application from _______________________________________________.
He / She is admitted into the following course in the ___________ year for the academic
year 2016 - 17.

B.Sc. (M.P.C) B.Sc. (M.P.Cs) B.Sc. (M.S.Cs)

B.Sc. (B.Z.C) B.Com (Gen) B.A. (H.E.P)

Medium: Telugu English

Office Seal & Date Signature of the receiving authority

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