St. Josephs College (Autonomous) Nationally Re- Accredited with A+ Grade Tiruchirappalli - 620 002. Tamilnadu, India. APPLICATION FOR inlet - UG (SHIFT-I) 2012-2013 act Number : Disposal: Principal Commerce 11 Economics 12 English Lit 13 level 14 Tamil Lit 15 Chemistry 21 Computer Science 22 Mathematics 23 natural philosophy 24 Botany 25 Statistics 26 Choose the ensconce item from those given to each question. Enter the CODE chomp of the item in the order of preference in the boxes provided 01. personation Applied For : BA/BCOM/BSC _______________ 1 2 02. Name (CAPITAL LETTERS) (as in the School certificate) 03. look of experience 04. Place and District of Birth State: 05. Nationality 06. start out Tongue 07. Sex: 1.Male 2. Female 08. constituent of the Place of Living: 1. Village 2.Town 3.City 09. Religion: 1.Christian 2. Hindu 3.Muslim 4.Others(Specify) 10. If Chri stian: 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 chore Order of your Birth Annual Income(Rs/-) Highest Qualification among Brothers & Sisters: 14. Physically disable? 1.Yes 2.No (if yes assume the copy of the certificate) 1.Yes 2.No 15. Are you a Son/ miss of an veterinary surgeon? 16. Member of any Service government 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: OrderEssay.net
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