Enrolment Form For NCC Year 2017-18
Only for current I year Students admitted in Year 2016-17
Name of Student
Your answer
Father’s / Guardian’s Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Male
Female
Present address
Your answer
Permanent address
Your answer
Contact No. (Personal)
98260XXXXX
Your answer
Email ID
Your answer
Blood Group
Your answer
Height
Feet- inch
Your answer
Weight
Kilogram
Your answer
Any Medical Problem
Specify it
Your answer
Institutional Enrolment No.
Your answer
Parents/ Guardians Occupation, Annual Income (as Applicable)
Your answer
10th
Passing Year
Your answer
10th
Percentage/ Marks
Your answer
10+2
Passing Year
Your answer
10+2
Percentage / Marks
Your answer
B.E./Diploma
Branch
Your answer
Admission in Institute
MM
/
DD
/
YYYY
I Semester Result
SGPA
Your answer
Any Backlog Paper
Mention Name
Your answer
Hostle Boarder / Day Scholar
Your answer
NCC / Scout/ Guide/ NSS
School
Your answer
Any certification in above
Mention the name
Your answer
Participation in Sport/ Games in School/ College Level
Name the sport
Your answer
Period of duration of Participation
Year of Participation
Your answer
Outstanding achievement
National level, State Level, any Certificate
Your answer
Hobbies
Your answer
Interest
Your answer
Participation in Extra-Curriculum Activities in School/ College
Duration of participation
Your answer
Extra- Curriculum Activities
Any Achievement
Your answer
Position of responsibility held in NCC/Scouting/ Sports team/ Extra-curricular group/ Co-Curriculum group and other fields
Your answer
Why you would like to Join NCC ?
In 30 words
Your answer
Are you willingly like to join NCC
YES
NO
Will your parents/Guardians allow you to join NCC
YES
NO
Are you agree to accept the financial expenditure for NCC
YES
NO
Will you available at anytime, anywhere call by NCC
YES
NO
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