REGISTRATION OF ADMISSION (2021 - 2022)
PERSONAL DETAILS
Name of the Student (Enter your name first and initial last) *

Date Of Birth  *
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Age : 
Gender *

Nationality *

Community *

Religion *

Caste *

Mobile No. *

Email-ID *

Aadhar No. *

Blood Group *


COURSE PREFERENCE
Quota *

First Preference *

Second Preference *

Third Preference *


EDUCATIONAL DETAILS
SSLC - MARKS OBTAINED:
Reg No. *

Month & Year of Passing *

Board *

Medium *

Name of the School *

Place of the School *

Type of School *

Qualified State *

Qualified City *

LANGUAGE Scored
Maximum
ENGLISH Scored *

Maximum *

MATHEMATICS Scored *

Maximum *

SCIENCE Scored *

Maximum *

SOCIAL SCIENCE Scored *

Maximum *

OTHER SUBJECT NAME
Scored
Maximum
TOTAL MARKS Scored *

Maximum *


HSC +2 DETAILS:
Reg No.
Month & Year of Passing
Board
Medium
Name of the School
Place of the School
Type of School
Qualified State Name
Qualified City
Group Name
LANGUAGE Scored
Maximum
ENGLISH Scored
Maximum
MATHEMATICS Scored
Maximum
OTHER SUBJECT NAME
Scored
Maximum
TOTAL MARKS Scored
Maximum
CUT OFF MARKS Scored
Maximum

DIPLOMA DETAILS:
Branch Studied *

Reg No. *

Month & Year of Passing *

College Name *

State Name *

District *

SEMESTER 1 Marks Obtained
Maximum Mark
Percentage
SEMESTER 2 Marks Obtained
Maximum Mark
Percentage
SEMESTER 3 Marks Obtained *

Maximum Mark *

Percentage *

SEMESTER 4 Marks Obtained *

Maximum Mark *

Percentage *

SEMESTER 5 Marks Obtained *

Maximum Mark *

Percentage *

SEMESTER 6 Marks Obtained *

Maximum Mark *

Percentage *

SEMESTER 7 Marks Obtained
Maximum Mark
Percentage
SEMESTER 8 Marks Obtained
Maximum Mark
Percentage
OVERALL MARKS OBTAINED (ALL SEM) *

OVERALL PERCENTAGE (ALL SEM) *


ACHIEVEMENT DETAILS
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PARENT / GUARDIAN DETAILS
FATHER DETAILS:
Father Name *

Qualification *

Occupation *

Designation *

Annual Income *

Mobile No. *

Email *

   
MOTHER DETAILS:
Mother Name *

Qualification *

Occupation *

Designation *

Annual Income *

Mobile No. *

Email

   
ALUMNI DETAILS OF SIBLINGS AND COUSINS (If Any):
Siblings / Cousins Name
Roll No
Mobile No.


ADDRESS DETAILS
PRESENT COMMUNICATION DETAILS:
Door No / House Name *

Street Name *

Village / Town *

Taluk *

Country *

State *

City *

Pincode *

PERMANENT COMMUNICATION DETAILS:
Door No / House Name *

Street Name *

Village / Town *

Taluk *

Country *

State *

City *

Pincode *


GOVERNMENT ALLOTMENT DETAILS
Application No. *

Ref No. *

Community Alloted in Counselling *

Overall Rank *

Community Rank *


BANK DETAILS
Account Holder *

Account Holder Name *

Bank Name *

Branch Name *

Account No *

IFSC Code *

MICR No
   

OTHER DETAILS
Aspiration *

Special Reservation (If Any)
Is Single Parent? * Are you a Non-Resident Indian(NRI)? * Is Hostel Accommodation Required? *
Is Transport Required? * Is Physically Challenged? * If yes, Choose Nature

ATTACHMENTS
Photo *
( Size: 2MB, Type: jpg, png, gif )

X Mark Sheet *
( Size: 2MB, Type: doc, docx, pdf )

XI Mark Sheet
( Size: 2MB, Type: doc, docx, pdf )

XII Mark Sheet
( Size: 2MB, Type: doc, docx, pdf )

Diploma Mark Sheet / Consolidate Mark Sheet *
( Size: 2MB, Type: doc, docx, pdf )

Diploma Provisional Certificate *
( Size: 2MB, Type: doc, docx, pdf )

Diploma Degree Certificate
( Size: 2MB, Type: doc, docx, pdf )

Migration Certificate, If applicable
( Size: 2MB, Type: doc, docx, pdf )

Transfer Certificate (TC)
( Size: 2MB, Type: doc, docx, pdf )

Bank passbook front page / Cancelled cheque leaf
( Size: 2MB, Type: doc, docx, pdf )

Community Certificate (If Applicable)
( Size: 2MB, Type: doc, docx, pdf )

Aadhar Card
( Size: 2MB, Type: doc, docx, pdf )

Government Allotment Order
( Size: 2MB, Type: doc, docx, pdf )

First Graduate Certificate
( Size: 2MB, Type: doc, docx, pdf )

First Graduate / Joint Declaration Form
( Size: 2MB, Type: doc, docx, pdf )

Income Certificate / Salary Certificate (If salary is Below 2.5 Lakhs)
( Size: 2MB, Type: doc, docx, pdf )


 *

 
Contact: 9487703918 www.kct.ac.in Email: [email protected]