SEVA SADAN'S

Ramchand Kimatram Talreja Junior College

Kalyan Ambernath Road, Shivaji Chowk, Ulhasnagar, 421003
Email: principalrkt@yahoo.com
Tel: 0251-2730297

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.

☞ Proceed for Payment If Application form Already Filled.

AIDED

Student Details:

Academic Year*
Class*
Surname *
Student First Name*
Father Name*
Date of Birth (As per govt. officials)*
Place of Birth *
Nationality
Blood Group
Caste *
Sub-Caste
Gender*
Religion *
Mother Tongue*
Have you passed SCC Examination From New Era School? *
Student Type*
Aadhar No. *
Email Id*(Click here to get OTP)
Email OTP*
Mobile No.* (Click here to get OTP)
Mobile OTP*
Student Photo *
Is First or Second Girl Child?
Physically Challenged *

Subjects

Subjects SCIENCE COMMERCE ARTS
Subject 1 ENGLISH ENGLISH ENGLISH
Subject 2 JALSURAKSHA AND ENVIRONMENTAL EDUCATION JALSURAKSHA AND ENVIRONMENTAL EDUCATION JALSURAKSHA AND ENVIRONMENTAL EDUCATION
Subject 3 HEALTH AND PHYSICAL EDUCATION HEALTH AND PHYSICAL EDUCATION HEALTH AND PHYSICAL EDUCATION
Subject 4 PHYSICS ORGANIZATION OF COMMERCE AND MANAGEMENT
Subject 5 CHEMISTRY BOOK KEEPING AND ACCOUNTANCY
Subject 6 ECONOMICS
Optional Subject 7 *
Optional Subject 8 * (MATHS Seats will be allotted after 3rd Round strictly on Merit Basis) (Press and Hold CTRL Key and Click on Respective Subjects of your choice)

Correspondence Address

Address *
Country *
State *
District *
City *
Pin Code *

Permanent Address
Check this box if Correspondence Address and Permanent Address are the same.

Address*
Country
State*
District
City*
Pin Code*
Native Place
Native District
Native State

Previous School Histories

Name of Last School Attended (SSC Passed)*
Last Class Attended *
Board (SSC Passed) *
Year And Month of Passing *
SSC Seat Number *
No. Of Attempts *
Marks Obtained*
Out of marks *
Class and Grade Obtained*
Medium of Instruction *
UDISE No. *
Student ID no. *

Father's Details

Father's Name*
Mobile No.*
Email Id *
Qualification
Occupation
Total Annual Income

Mother's Details

Mother's Name*
Mobile No.*
Email Id *
Qualification
Occupation
Total Annual Income

Guardian's Details

Guardian's Name
Guardian's Relation
Address
Mobile
E-mail
Occupation

Document To Be Submitted Along With Admission Form

Marksheet of Last School *
(Max-2 MB)(jpeg/png/jpg)
School Leaving Certificate
(Max-2 MB)(jpeg/png/jpg)
Aadhar Card *
(Max-2 MB)(jpeg/png/jpg)
Caste Certificate
(Max-2 MB)(jpeg/png/jpg)
Others Document 1
(Max-2 MB)(jpeg/png/jpg)
Others Document 2
(Max-2 MB)(jpeg/png/jpg)
Others Document 3
(Max-2 MB)(jpeg/png/jpg)

Bank Details

Name of Bank
Branch Name
IFSC Code
Account Number

Undertaking

I have read all the rules and regulations in force at present and hereby agree to promise that, while, I am student of R.K.Talreja College, Ulhasnagar-3, I shall do nothing to obstruct or *bring* interference in any with its orderly governance of discipline, and that I shall devote my entire attention to the futherance of studies. I will attend minimum 75% of lectures and practicals in both the terms. I also promise that I shall inform the Principal in writing in case I decide to discontinue my education or college in the middle of the year. The information submitted above is correct. I endorse the application and declaration made there in.
I *agree to pay additional fees as and when revised by Govt. and college authorities*

 
 
I Agree