Admission-Welcome to Ambagan Kanistha Mahavidyalaya (Junior College of Arts) Estd. 2008.

Ambagan Kanistha Mahavidyalaya

(Junior College of Arts)

Ambagan : Nagaon : Assam : Pin- 782120

Estd. 2008

Application Form For Admission Into Class XI

* (Mendatory fields)

Stream:

Medium of Instruction:

* Applicant Name:

*Sex / Gender:

*Religion:

*Date of Birth:

*Father's Name:

*Father's Occupation:

*Mother's Name:

*Addresss:

*Contact No (Residance):

Contact No (Office):

*Caste:

*Name of the School last attended:

About Last Examination Passed

*Exam Name:

*Year:

* Name of board:

*Roll No:Ex-B20-111 0111 / BM20-111 0111)

*Division:

Marks obtained out of 600 in the Last Examination (HSLC/AHM/ Equivalent Examination)

1. *Subject Name:

*Marks obtained:

*Full Marks:

2. *Subject Name:

*Marks obtained:

*Full Marks:

3. *Subject Name:

*Marks obtained:

*Full Marks:

4. *Subject Name:

*Marks obtained:

*Full Marks:

5. *Subject Name:

*Marks obtained:

*Full Marks:

6. *Subject Name:

*Marks obtained:

*Full Marks:

7. Subject Name:

Marks obtained:

Full Marks:

*Total marks obtained in last examination:

*Last examination percentage:

Subjects the applicant wants to study

Core Subjects: 1. English , 2. MIL Assamese, 3. Environmental Education

Elective Subjects: 1. Economics , 2. Political Science, 3. Education ,4.

Bank Account Details (optional)

Account No. :

IFSC Code:(Ex. SBIN0005241)

*Wheather you have dropped in last year? YES NO

*Wheather you are related with any police case? YES NO