* Ma rked wi th (*) a re ma nda tory.

40
* Don't refres h the pa ge duri ng fi l l i ng form.
* (Your a ppl i ca ti on wi l l be regi s tred onl y a fter the pa yment of a ppl i ca ti on money to Uni ted Ba nk of Indi a .)

Payment & Course

Details
Bank Transaction
: AA36311
No.

Date of Payment : 02/05/2015

Course : I.A.

Session : 15-17

Upload Photo

Stream : NA

Photo Size (3x3 cm or 85x85 px) only in .jpg, .gif, .png format (Photo Upload is Mandatory)

SELECT PHOTO : Choose File No file chosen

Personal Details
*Applicant Name

Amount : 600

Browse & Click

here to Upload
Photo

* Required fields (All details as per in your Matriculation Certificate)

*Applicant Name Hindi :

*Father's Guardian's
Name

*Mother's Name

Type your name in English

and press spacebar.

*Marks of
Identification
Aadhaar No (UID)

*Date of Birth

*Birth Place

*Applicant State

: STATE

*Marital Status

: MARITAL STATUS

*Category

: CATEGORY

*Sub Category

: SUB-CATEGORY

*Gender

: GENDER

*Blood Group

: BLOOD GROUP

*Religion

: SELECT RELIGION

Phone (LL)

*Mobile

Email

*Economic Status

: ECONOMIC STATUS

(dd-MM-yyyy)

*Mother Tongue

*Locality

: LOCALITY

*Nationality

: INDIAN

Parents/Guardian
Details

* Optional (Provide Only Correct Information if Applicable)

Father's/Guardian's Details

Is your
Father an
old student
of this
College

Is he a
member of
AROX

: NO

Occupation : OCCUPATION

Designation :

Phone No

Mobile

Email

Qualification :

: NO

Mother's Details

Is your
Mother an
old student
of this
College

Is she a
member of
AROX

: NO

Occupation : OCCUPATION

Designation :

Phone No

Mobile

Email

Qualification :

: NO

Applicant Address
Applicant Permanent Address

* Provide Only Correct Information.

Applicant Correspondence Address

Click If Both Address Is Same.

*
Permanent :
Address

Correspondence
:
Address

*
:
City/District

City/District

State

: STATE

Pin/Zip Code

*State

: STATE

*Pin/Zip
Code

Select Subject

* This field is required

* This field is required
* This field is required

* All fields are mandatory in this section (Read carefully instructions in the Prospectus)

INTERMEDIATE (ARTS) FIRST YEAR

COMPULSORY PAPER-I
: SELECT
CORE LANGUAGE*
ELECTIVE LANGUAGES
: SELECT
(ANY ONE)*
OPTIONAL PAPER-I* : SELECT
OPTIONAL PAPER-II* :ECONOMICS
OPTIONAL PAPER-III* :POLITICAL SCIENCE
ADDITIONAL SUBJECTS
: SELECT
(ANY ONE)*

Academic Record

* All fields are mandatory in this section

PASSED MATRIC/ICSC/CBSE DETAILS

EXAM NAME

: SELECT

PASSING YEAR

BOARD
: BOARD
NAME OF
:
SCHOOL
REGISTRATION
:
NO

Other Details
1 : If Physically Challenged.

: SELECT

DIVISION/GRADE :
STATE

: STATE

MEDIUM

: SELECT

* Provide only correct information.

: NO

If yes specify the detais parts of

2 : physical disabilities &
:
percentage
Son/Daughter of Exservicemen.
Conveyance if any, used to
4:
come college.
Other Examination/Course or
5:
studies taken.

: NO

6 : Extra Activities

7 : Skill Level

: NO

NO

3:

If yes Keep always driving licence &

parking pass with you.

Undertaking
I hereby to abide by the College and Jharkhand Intermediate Education Council Rules regarding
1 : attendance, viz., that if my attendance is found to be unsatisfactory, I shall not be
promoted/permitted to next higher classes/Examination.
I am aware of the Rules and Laws regarding ragging. Ragging is strictly prohibited.It is a
2:
punishable offence.
I hereby accept the College Privacy that students with serious complaints of indiscipline
3:
against them, will not be readmitted/promoted to the next higher class.
4 : I am ready to accept the college policy on leave/college functions/eductional activities.
A Student will not be granted promotion unless:
5 : i. He/She has attended at least 75% of the lectures and 75% of Practicals.
ii. His/Her performance at the semester examination is satisfactory.
I declare that all the above mentioned information is correct & true and I will abide by all
Rules and Regulations of the College and accept the decision of the Principal in all matters
as final.
Submit

Copyright 2014 - All Rights Reserved - St. Xavier's College, Ranchi Mail us for any help:: studentservice@sxcran.org.in