ADMISSION FORM-ECC, DIMAPUR
Eastern Christian College, Padumpukhuri, Dimapur-797116
### After the form is submitted and received, the candidate will receive a phone call from the office for online payment procedures.
1. Admission sought for? *
2. Student's Name *
3. Date of Birth *
MM
/
DD
/
YYYY
4. Sex *
5. Nationality *
6. Religion *
7. Category *
7. Identification Mark *
8. Student's WhatsApp number *
9. Aadhar Number *
10. Present Address *
11. Student's e-mail I.D
12. Father's Name. *
13. Father's contact number. *
14. Father's Occupation
15. Mother's Name
16. Mother's contact number
17. Permanent Address *
18. Name of local guardian.
19. Local guardian's contact number
20. Local guardian's address
21. Institute last attended *
22. Registration number with year
23. Roll number with year of Examination last appeared *
24. Academic details (Class 10 and 12 Percentage/Grade) *
25. Class 11 (Arts) subjects (Choose any five)
# Compulsory: 1) English 2) EVS
Clear selection
26. Class 11 (Com.) Tick any one from the following:
# Compulsory subjects: 1. English 2, EVS 3, Economics 4, Accountancy 5, Business Studies
Clear selection
27. 1st Semester (Arts) -PASS COURSE. (tick any three from the following):
# Compulsory subject: 1.English
Clear selection
28. 1st Semester (Arts) -HONOURS COURSE. (tick any one from the following):
Clear selection
29. 1st Semester (Com.) (tick any one from the following):
# All subjects compulsory for both honours and pass course
Clear selection
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