JAIN COLLEGE OF BBA BCA & COMMERCE, BELAGAVI

PERSONAL INFORMATION

Select Course

Name of the Applicant

(as per XII / PUC II / Annual Exam Marks card)

Contact No

Fathers Name

Occupation

Contact No

Mothers Name

Occupation

Phone

Guardians Name(if any)

Occupation

Phone

Annual Income form all Sources(Rs.)

Aadhar Card No

Place of Birth

Date of Birth

Blood Group

Religion

Caste

Sub Caste

Mother Tongue

Nationality

Marital Status

Residential Address

Number of Attempts

EDUCATIONAL INFORMATION

Examination Board

Institution Last Attended

Registration Number

Month & Year attended

PUC stream

Enter the marks as per the Internet copy received of PUC II result

	Subject Name	Maximum Marks	Marks Obtained
Subject 1
Subject 2
Subject 3
Subject 4
Subject 5
Subject 6
Total

Total Marks Obtained

PUC II (%)

Medical Conditions

Please list any medical conditions or disabilities

Medical Condition of the candidate

Modern Indian Language as a subject to be selected by the candidate:(Please Select one)

Achievement in Sports / Others

DECLARATION

I hereby declare that the information furnished above is true, complete
and correct to the best of my knowledge and belief.

Candidate Signature

Clear

Parent / Guardian Signature

Clear

Your Admission wll be confirmed, once you complete the ADMISSION PAYMENT PROCEDURE. Kindly Contact : +91 8073873742

JAIN COLLEGE OF BBA BCA & COMMERCE, BELAGAVIADMISSION FORM for the year 2024-25

PERSONAL INFORMATION

EDUCATIONAL INFORMATION

DECLARATION