(Please read the information booklet carefully before fill in the application form. Leave one blank space in between two words)
1. E-mail ID
*
Paste Self
Attested
Recent
Photograp
2. Candidate's Name
in Capital Letters (as given in
Class 10th Certificate
) *
3. Father's/ Mother’s Name
in Capital Letters (as given in
Class 10th Certificate
) *
4. Date of Birth
(dd/mm/yyyy)
5. Age (as on 31.07.2012)
6. Gender
Select
Male
Female
7. Nationality
Select
Indian
Foreign
8. Category (Whichever Applicable)
Select
GEN
SC
ST
OBC
PH
9. Do you belong Below Poverty Line?
Select
Yes
No
10. International Student
(If applicable)
Select
Foreign National
Person of Indian Origin
Non Resident Indian
11. Address for Correspondence
*
State
Pin Code
12. Contact Numbers
*
STD Code
Land Line Number
Mobile No
*
13. Fee Details : ( Mention DD/Cheque No., Date and Bank Name after getting print out of the application form.)
DD/Cheque No.
Date
Bank
14. Qualifying Exam Status
Select
Passed
Appearing
15. Details of Qualifying Examination
Examination
Year of Passing/appearing
Name of the School
Board
Marks
Max
Obtained
Percentagae (%)
10th Std
10 + 2
DECLARATION BY THE CANDIDATE
I fulfill all the eligibility criteria as laid down by the CCS University
I promise not to indulge in ragging or any other undesirable activities against college norms, ?which will attract disciplinary actions.
The information given by me in this application form is true to the best of my knowledge and belief.
Signature of the Candidate
NOTE :
1.
Attachment of any documents ( Except Cheque/DD) are not required with this Application form. It will be verified at the time of personal interview
2.
Candidate are advised to paste their recent passport size photograph and sign the application form after getting the print out of the same