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    Payment & Course Details: Photo Size (3x3 CM or 85x85 PX) Only in .JPG, .Gif, .PNG Format (Photo Upload Is Mandatory)

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    Payment & Course Details: Photo Size (3x3 CM or 85x85 PX) Only in .JPG, .Gif, .PNG Format (Photo Upload Is Mandatory)

    Uploaded by

    gurjit20
    23 views3 pages
    app form

    Original Title

    I A

    Copyright

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    app form

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views3 pages

    Payment & Course Details: Photo Size (3x3 CM or 85x85 PX) Only in .JPG, .Gif, .PNG Format (Photo Upload Is Mandatory)

    Uploaded by

    gurjit20
    app form

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    © All Rights Reserved
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    of 3

    5/8/2015

    Intermediate Application Form

    * 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 No. : AA69545

    Date of Payment : 06/05/2015

    Course : I.A.

    Amount : 600

    Session : 15-17

    Upload Photo

    Stream : NA

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

    Browse & Click here to Upload


    Photo

    SELECT PHOTO : Choose File No file chosen

    Personal Details

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

    *Applicant Name

    *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

    *Mother Tongue

    *Locality

    : LOCALITY

    *Nationality

    : INDIAN

    Parents/Guardian Details

    (dd-MM-yyyy)

    * Optional (Provide Only Correct Information if Applicable)

    Father's/Guardian's Details

    Is your Father an old student of


    : NO
    this College

    Is he a member of AROX

    : NO

    Occupation

    : OCCUPATION

    Designation

    Phone No

    Mobile

    Email

    Qualification

    Is your Mother an old student


    of this College

    : NO

    Is she a member of AROX

    : NO

    Occupation

    : OCCUPATION

    Designation

    Phone No

    Mobile

    Email

    Qualification

    Mother's Details

    http://www.sxconline.org.in/FormsOnline/sxcinter/sxcInterForms.aspx?subbrid=40&crId=17&crtypId=1

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    5/8/2015

    Intermediate Application Form

    Applicant Address

    * Provide Only Correct Information.

    Applicant Permanent Address

    Applicant Correspondence Address

    Click If Both Address Is Same.


    * Permanent Address

    Correspondence Address :

    * City/District

    City/District

    *State

    : STATE

    State

    : STATE

    Pin/Zip Code

    *Pin/Zip Code

    Select Subject

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

    INTERMEDIATE (ARTS) FIRST YEAR

    COMPULSORY PAPER-I CORE


    : ENGLISH
    LANGUAGE*
    ELECTIVE LANGUAGES (ANY ONE)* : HINDI
    OPTIONAL PAPER-I* : SELECT
    OPTIONAL PAPER-II* :ECONOMICS
    OPTIONAL PAPER-III* :POLITICAL SCIENCE

    ADDITIONAL SUBJECTS (ANY ONE)* : SELECT

    Academic Record

    * This field is required

    * All fields are mandatory in this section

    PASSED MATRIC/ICSC/CBSE DETAILS


    EXAM NAME

    : MATRIC

    PASSING YEAR

    : 2015

    BOARD

    : JAC

    DIVISION/GRADE

    : DIV

    NAME OF SCHOOL

    STATE

    : JHARKHAND

    REGISTRATION NO

    MEDIUM

    : SELECT

    MARKS DETAILS (JAC/CBSE/ICSE) BOARD

    MARKS CONSIDER FOR ONLY LANGUAGEI,LANGUAGEII,MATH,SC,SO.SC SUBJECT'S ( DON'T ADD ADDITIONAL SUBJECT MARKS IN OUT OF TOTAL MARKS
    * NOTE: FOR CBSE CANDIDATE IF HAVING ONLY GRADE THEN SELECT ONLY GRADE.

    PAPER
    LANGUAGE-I

    SUBJECT
    : ENGLISH

    GRADE

    ONLY FOR CBSE


    : GRADE

    MARKS

    LANGUAGE-II
    OTHER SUBJECT-I

    : HINDI
    : MATH

    GRADE
    GRADE

    : GRADE
    : GRADE

    MARKS
    MARKS

    ONLY FOR JAC/ICSE/OTHERS


    : 00
    : 00
    : 00

    OTHER SUBJECT-II

    : SCIENCE (PHY,CHE,BIO)
    SOCIAL SCIENCE
    :
    (HIS,GEO,CIV)

    GRADE

    : GRADE

    MARKS

    : 00

    GRADE

    : GRADE

    MARKS

    : 00

    PERCENTAGE OF
    TOTAL MARKS

    OTHER SUBJECT-III
    OUT OF (EXAM TOTAL
    MARKS) i.e 500.

    : 500

    Other Details
    1 : If Physically Challenged.
    2 :

    TOTAL MARKS :

    * Provide only correct information.


    : NO

    If yes specify the detais parts of physical disabilities


    :
    & percentage

    NO

    3 : Son/Daughter of Ex-servicemen.
    4 : Conveyance if any, used to come college.

    : NO

    5 : Other Examination/Course or studies taken.

    6 : Extra Activities

    7 : Skill Level

    : NO

    If yes Keep always driving licence & parking pass with you.

    http://www.sxconline.org.in/FormsOnline/sxcinter/sxcInterForms.aspx?subbrid=40&crId=17&crtypId=1

    2/3

    5/8/2015

    Intermediate Application Form

    Undertaking
    1:
    2:
    3:
    4:
    5:

    I hereby to abide by the College and Jharkhand Intermediate Education Council Rules regarding 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 punishable offence.
    I hereby accept the College Privacy that students with serious complaints of indiscipline against them, will not be readmitted/promoted to
    the next higher class.
    I am ready to accept the college policy on leave/college functions/eductional activities.
    A Student will not be granted promotion unless:
    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

    http://www.sxconline.org.in/FormsOnline/sxcinter/sxcInterForms.aspx?subbrid=40&crId=17&crtypId=1

    3/3

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