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8/11/2021 Application For Junior College 21-22 - Online Admission

APPLICATION FOR JUNIOR COLLEGE 21-22

MOHAMMED SULAIMAN CLASS IN WHICH ADMISSION IS SOUGHT : CJC I YEAR


MALE
ACADEMIC YEAR : 2021 - 2022
7337663441
REG. NO : 9608 DOB : 21-08-2005

COURSES
SECOND LANGUAGE HINDI
COURSE APPLICATION NUMBER
PCMC S303001
CAMS C302331
CAME C302332
PRIMARY DETAILS
FATHER'S NAME NOOR ULLA KHAN

MOTHER'S NAME AYESHA BEGUM

CATEGORY CAT IIB

RELIGION ISLAM

NCC CANDIDATE NO

SPORTS OPTION NONE

LANGUAGE EXEMPTION IN 10TH STANDARD

ACADEMIC DETAILS
EQUIVALENT EXAM FOR SSLC SSLC

PREVIOUS SCHOOL STUDIED OTHER KARNATAKA SCHOOL

PASSING YEAR AND MONTH AUGUST 2021

NO. OF ATTEMPT ONE

MAXIMUM MARKS FOR CLASS X 625

TOTAL MARKS OBTAINED IN CLASS X 393

PERCENTAGE OF MARK 62.88

EXAM REGISTRATION NUMBER X STD 20210372076

SUBJECT STUDIED SUBJECT MAXIMUM OBTAINED


STUDIED MARKS MARK

ENGLISH 125 71

KANNADA 100 60

HINDI 100 81

MATHS 100 56

SCIENCE 100 50

SOCIAL 100 75
SCIENCE

UPLOAD 10TH MARKS CARDS (YOU CAN ONLY UPLOAD 31968


PDF, JPG, FILES.)

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8/11/2021 Application For Junior College 21-22 - Online Admission

PERSONAL DETAILS
HOUSE NAME / NO #9 NEW NO 19

STREET ADDRESS EAST STREET NEELASANDRA


BANGALORE

PLACE / TOWN BANGALORE

COUNTRY INDIA

STATE KARNATAKA

DISTRICT BANGALORE URBAN

PIN CODE 560047

BLOOD GROUP A+

MOTHER TONGUE URDU

AADHAAR NUMBER 926609316527

NATIONALITY INDIAN

DOMICILE KARNATAKA

PHYSICALLY CHALLENGED NOT APPLICABLE

UPLOAD CASTE CERTIFICATE (YOU CAN ONLY UPLOAD PDF, JPG,


FILES.)

FAMILY DETAILS
FATHER'S MOBILE NUMBER 8884493867

FATHER'S EMAIL ID SHAFFIM456@GMAIL.COM

FATHER'S EDUCATIONAL QUALIFICATION SSLC

FATHER'S OCCUPATION TAILOR

ANNUAL INCOME LESS THAN 1,00,000

MOTHER'S MOBILE NUMBER 7337663441

MOTHER'S EMAIL ID

MOTHER'S EDUCATIONAL QUALIFICATION SSLC

MOTHER'S OCCUPATION

NAME OF GUARDIAN

GUARDIAN'S ADDRESS

GUARDIAN'S EMAIL

GUARDIAN'S MOBILE NUMBER

DECLARATIONS
I HEREBY DECLARE THAT ALL THE ABOVE PARTICULARS HAVE BEEN FILLED IN BY ME AND ARE CORRECT AND
THAT IN CASE OF ANY DISCREPANCY FOUND THEREIN SUBSEQUENTLY AT ANY STAGE, I SHALL BE SOLELY
RESPONSIBLE FOR CONSEQUENCES ARISING OUT THERE FROM.

11-08-2021 SIGNATURE
BENGALURU FATHER
MOTHER

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