RAJARAM CHHATRAPATI MEMORIAL EDUCATIONAL TRUST's

Chhatrapati Shahu Vidyalaya & Jr. College

New Palace Area,Kolhapur-416003. Tel:0231- 2664184/ 8669630988
Website-www.csvkolhapur.net, Email-csvjucollege@gmail.com


APPLICATION FORM




  SECTION : *   Admission Year : *


  CLASS : *         APPLICATION DATE : *
  STUDENT's FIRST NAME : *    SURNAME: *
  FATHER's FIRST NAME : *   MOTHER's FIRST NAME : *
  RELIGION :  *      CASTE :        SUB CASTE : 

  MOTHER TONGUE : *        DATE OF BIRTH:*
  DATE OF BIRTH IN WORDS:*    GENDER:  *
  PLACE OF BIRTH : *    DISTRICT :  
  AADHAR CARD NO.: 
  RESIDENTIAL ADDRESS: *
  RESIDENTIAL PHONE NO.:                                  NUMBER FOR SMS SERVICE.: *    

                                                           FATHER'S DETAILS
  OCCUPATION:  ANNUAL INCOME :   
  OFFICE ADDRESS: 
  MOBILE NO.: *   EMAIL-ID: 
  STUDENT's LAST SCHOOL/Jr.COLLEGE ATTENDED :
  TOTAL MARKS OBTAINED :
  PERCENTAGE :
ADMISSION RECOMMENDED BY :
To confirm your admission kindly pay fees by CASH/ CHEQUE/ IMPS/ RTGS directly in Central bank of India, Kolhapur. Account No : 1715696893 , IFSC Code : CBIN0280645
I agree to abide by the rules & regulations of the school. Certified that,above statement is correct to the best of my knowledge.


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