Gobind +3
Gobind +3
Gobind +3
6. Permanent Address
h. e-Mail GOBINDAGOUDA1000@GMAIL.COM
7. Reservation Details
a. Schedule Tribe No Schedule Caste No Other Backward Class Yes Socially and Educationally Backward Class No General No
8. Weightage Details
President Recognition(PR) No Rajya Puraskar(RP) No International Level No National Level No State Level Yes
9. Details of Mark Secured in +2 or equivalent Examination
a. Stream Arts
b. Mark secured in each subject in +2 or Maximum Mark Total Mark Secured English MIL Chemistry Mathematics Biology
equivalent Examination
600 210 44 42 0 0 0
11 Bank Information
13 Option(s)/Choice(s) Details
4th Odisha Pachua Anchala Degree College, Papadahandi Arts HONOURS ODIA NO
Payment Details
Mode of Payment Payment Status Amount Paid Transaction No. Transaction Date
NB SUCCESS 275.00 4511906140819 25-06-2023
UNDERTAKING
I do hereby agree to abide by the rules of the College/Hostel. I undertake that should any indiscipline and disobedience instance of the rules laid down by the
Government or any authority empowered by them in this regard or should conduct in the college is found not satisfactory, my name will automatically be
removed from the college. I undertake that information furnished by me in this application is true and correct and i undertake that any wrong information
furnished be me, detected afterwards will be treated as cognizable offence.
I further undertake that i will not involve in any ragging activities in the college and hostel premises. I understand that criminal case will be filed against me if
indulge in ragging
I hereby fully endorse the undertaking made by our
child / ward Submitted by me
Sl.# Documents
1 One (1) self signed (on the front side) recent color passport size photograph to be affixed in the CAF (College Copy).
2 Higher Secondary (+2) Mark Sheets-cum-Provisional Certificate (or equivalent Board). If an applicant has not received the mark sheet from the board
in-time, then the downloaded mark sheet from Internet, duly endorsed by the leaving School/College Principal will be admissible.
3 Self signed (on the front side) color passport size photograph (1 Copy) to be affixed in the CAF.
5 Personal Details Nationality Mother Tongue Aadhaar No. Parent Mobile No.
INDIAN ODIA ********3917 8114628912
6. Permanent Address
h. e-Mail GOBINDAGOUDA1000@GMAIL.COM
7. Reservation Details
a. Schedule Tribe No Schedule Caste No Other Backward Class Yes Socially and Educationally Backward Class No General No
President Recognition(PR) No Rajya Puraskar(RP) No International Level No National Level No State Level Yes
b. Mark secured in each subject in +2 or Maximum Mark Total Mark Secured English MIL Chemistry Mathematics Biology
equivalent Examination
600 210 44 42 0 0 0
11 Bank Information
13 Option(s)/Choice(s) Details
4th Odisha Pachua Anchala Degree College, Papadahandi Arts HONOURS ODIA NO
Payment Details
Mode of Payment Payment Status Amount Paid Transaction No. Transaction Date
NB SUCCESS 275.00 4511906140819