Bishop Cotton Women's Christian College

I PUC ONLINE APPLICATION FORM 2023-24

1.Name*

2.(a) Date of Birth *

(b). Birth Place *

(d). Aadhar No *

3. Religion *

Caste *

Sub caste *

Mother Tongue *

4. Name of the Father: *

Phone Number: *

Occupation: *

Annual Income: *

5. Name of the Mother: *

Phone Number: *

Occupation: *

Annual Income: *

6.Name of the Guardian *

Phone Number: *

Occupation: *

Annual Income: *

7.Permanent Address*

Email Id*

8.Name and Address of the School / College last studied:*

9. Particulars of SSLC / Equivalent Examination Passed:

Reg No: *

Year *

Month: *

Total Marks *

Percentage *

10. Subject / Languages Studied	Marks Obtained

11 .Languages and Combination Offered to study in the PUC course:

PART - I

PART - II (Optional Subjects)

12.Upload Passport size Image(Image size not more than 500kb)*

13.Upload SSLC Marks Card(Size not more than 2MB)*

We / I have read the Online Admission Form and have filled it to the best of our/my knowledge. We / I have enclosed the required documents and will comply with the decision taken by the Admission Committee with regard to the admission process. We / I understand that an incomplete application will be subject to rejection.

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NOTE: THE DOWNLODED APPLICATION FEE WILL BE COLLECTED AT THE TIME OF FEES PAYMENT.