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Ghoom Jorebunglow College

Admission Form

Tiger Hill, Darjeeling 734102, West Bengal, India | Contact: 9733262672 | Email: principal@ghoomjorebunglowcollege.com

Personal Details

Form No:

Date of Birth:*

Student Name:*

Gender:*

Marital Status:*

Cast Category:*

Physically Challenged:

Country*

Phone Number*

Blood Group:*

Aadhar No:*

Religion:*

Email Address:*

10+2 Registration Number:*

Parental & Address Details

Father's Name:*

Father's Occupation:*

Mother's Name:

Mother's Occupation:

Annual Family Income:*

Contact No:*

Communication Address:*

Permanent Address:*

Academic Qualification

Name of the School:*

Name of the Board:*

Year of Passing:*

Marks Statement

Subject 1*

Marks *

Subject 2*

Marks*

Subject 3*

Marks*

Subject 4*

Marks *

Total Marks

Percentage %

Subject Combination

Course Applied For: *

Economics*

English *

Political_Science*

Education*

History*

Nepali*

Geography*

Sociology*

Program Course*

Group A*

Group B*

Group C*

IDC1 (2nd Sem) *

IDC2 (3rd Sem) *

IDC3 (4th Sem)*

AEC1 *

AEC2 *

SEC1(1st Sem)*

SEC2 (2nd Sem) *

SEC3(3rd Sem) *

VAC 1*

VAC 2 *

Declaration

I hereby declare that all the information furnished above is true to my knowledge. If found incorrect, my candidature shall be canceled. I shall abide by all the rules and regulations of the institute.

Date*

Place:*

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Aadhar Card*

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Marksheet*

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Student Signature