Online Application Form – Ghoom Jorebunglow College

Ghoom Jorebunglow College

Online Registration for Session :2024-2025

Student Name

Cast/ Category

Email Address

Nationality

Date of Birth

Marital Status

Aadhar No

Religion

Phone Number

Blood Group

Gender:

Physically Challenged

Fathers Name

Mothers Name

Father’s Occupation

Mother’s Occupation

Annual Family Income

Parents Phone Number

Permanent Address

10+2 Registration Number

Year of Passing

Subject Name

Total Score

Communication Address

Name of the School

Name of the Board

Marks Obtained

Average % Score

Option Major Courses

Option for Minor (A)

Option for Minor (B)

Time of Application

Place

Upload a recent Passport Photo

Student Signature