St. Josephs College (Autonomous) Nationally Re- Accredited with A+ Grade Tiruchirappalli - 620 002. Tamilnadu, India. APPLICATION FOR assenting - UG (SHIFT-I) 2012-2013 act Number : Disposal: Principal Commerce 11 Economics 12 English Lit 13 register 14 Tamil Lit 15 Chemistry 21 Computer Science 22 Mathematics 23 natural philosophy 24 Botany 25 Statistics 26 Choose the stipulate item from those given to each question. Enter the CODE insect bite of the item in the order of preference in the boxes provided 01. act Applied For : BA/BCOM/BSC _______________ 1 2 02. Name (CAPITAL LETTERS) (as in the School certificate) 03. look of lineage 04. Place and District of Birth State: 05. Nationality 06. produce Tongue 07. Sex: 1.Male 2. Female 08. graphic symbol of the Place of Living: 1. Village 2.Town 3.City 09. Religion: 1.Christian 2. Hindu 3.Muslim 4.Others(Specify) 10. If Christian: 1.Catholic 2. no-Catholic 11. If Catholic Christian: 1.Dalit 2.Non-Dalit 12. Community: 1.SC 2.ST 3.MBC 4.DNC 5.BC 6.

OC ATTESTATION BY PARISH non-Christian priest (Compulsory for Catholic Students) This is to certify that the applicant______________________________________________________ belongs to my parish and the applicant is a Catholic. The applicant is a Dalit/Non-Dalit. Seal Name and Signature of the Parish Priest 13. Particulars of Parents Father Mother Others Name No. Of Brothers Educational Qualification No. Of Sisters assembly line Order of your B irth Annual Income(Rs/-) Highest Qualifi! cation among Brothers & Sisters: 14. Physically wound? 1.Yes 2.No (if yes assume the copy of the certificate) 1.Yes 2.No 15. Are you a Son/ female child of an veterinary surgeon? 16. Member of any Service cheek 1.NSS 2.NCC 3.Any Other 17. Co-Curricular Activities 1.Athletics / Games 2.Art 3.Music 4.Literary skills 18. Was your study interrupted? 1.Yes 2.No...If you indigence to get a full essay, order it on our website:
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