Online Admission :: St. Xaviers' College , Asansol

PERSONAL INFORMATION

* Salutation

* First Name

Middle Name

Last Name

* Date of Birth

* Gender

Blood Group

Aadhar Number

* Social Category

Caste Certificate No.

Caste Certificate Issue State

EWS-Type

* Marital Status

* Religion

* Nationality

* Interested in Extra Curricular Activity

Parents/Guardian Mobile Number

* Physically Challenged ?

* Father’s Name

* Father’s Occupation

* Mother’s Name

* Mother’s Occupation

* Email Id

* Annual Family Income

* Whether belongs to BPL

* Applied for Kanyashree in School level?

* Do You Have Banglar Shiksha Student ID ?

EDUCATIONAL QUALIFICATION

* SSC Board Name

* SSC Registration Number (10th)

* SSC Passing Year (10th)

* HS Stream (10+2)

* HS Board/University (10+2)

* HS Passing Year (10+2)

* HS Roll Number

* HS Registration Number

Please Enter Subjects and Marks in HS (10+2) / Equivalent Examination.

Subject Type

HS Subject Name (10+2)

HS Marks Obtained (10+2)

* Language 1 :

* Language 2 :

* Elective 1 :

IF ANY STUDENT BELONGS TO VOCATIONAL BOARD MAY APPLY FOR PASS COURSE ONLY BY PROVIDING MARKS FOR VOCATIONAL1, VOCATIONAL2 & VOCATIONAL3 SUBJECTS FOR THEIR RESPECTIVE SUBJECTS.

* Elective 2 :

* Elective 3 :

Elective 4 :

CONTACT INFORMATION

* Permanent Address :

Your Permanent Address And Correspondence Address is Same ?

* Correspondence Address :

* Mobile Number :

* Alternative Mobile Number :

IMAGE UPLOAD

* Image Upload : ( SIZE : 1KB To 30KB )

( Upload Only Image File ) x

Signature Upload : ( SIZE : 1KB To 20KB )

( Upload Only Image File ) x

* Class 10 Marksheet Upload : ( SIZE : 1KB To 150KB )

( Upload Only PDF File ) x

* Class 10+2 Marksheet Upload : ( SIZE : 1KB To 150KB )

( Upload Only PDF File ) x

* Age Proof Document : ( SIZE : 1KB To 150KB )

( Upload Only PDF File ) x

Caste Certificate (if any) : ( SIZE : 1KB To 150KB )

( Upload Only PDF File ) x

EWS Certificate (if any) : ( SIZE : 1KB To 150KB )

( Upload Only PDF File ) x

Candidate should note that this Mobile Number will be used by the College authorities for all future communication with the candidate. Change of Mobile Number during the whole academic tenure with the college is not allowed without registering intimation through proper channel.

Candidate should note that this Alternative Mobile Number should be the number of any near relative and if needed, will be used by the College authorities for urgent communication. Change of Alternative Mobile Number during the whole academic tenure with the college is not allowed without registering intimation through proper channel.

Candidate should note that this Email Address will be used by the College authorities for all future communication with the candidate. Change of Email Address during the whole academic tenure with the college is not allowed without registering intimation through proper channel.

I agree to the Terms and Conditions.

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St. Xavier's College, Asansol

Application Form (SESSION : 2024-2025) * marked field are mandatory