JINDAL DEGREE COLLEGE FOR WOMEN
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Name of the Student (as per the 10th Marks Card) *
Email Address *
Date of Birth as per 10th Marks Card *
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DD
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YYYY
Father Name as per the records *
Mother Name as per the records *
Occupation of the Parent(Father) *
Parent Mobile Number *
Postal Address for Communication *
Permanent Address (if Postal and Permanent address is same, then mention as above) *
Student Mobile Number (if any)
Nationality *
Aadhar Number *
Category-Belongs to *
Annual Income *
Combination opted in PUC or 12th with language (specify subjects)(Eg : PCMC/Kan,Eng) *
Marks secured in I PUC or 11th (Out of)(Eg: 456/600) *
Previous College Name studied *
Percentage and Year of Passing in 10th Exam(Eg : 72% & 2019) *
Board of Passing 10th Examination *
Marks Obtained In 10th Standard and Maximum Marks(Eg: 560/625) *
Medium of Study in 10th (English/Kannada or if any) *
School Name and Address in which 10th Completed *
Language opted to study in Degree *
Course Applied for *
Required
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