APS DEGREE COLLEGE

Passport Size Colour Photo

Place of Birth *

Date of Birth *

Gender *

Father's Name *

Mother's Name *

Guardian's Name (If applicable)

Father's Occupation

Mother's Occupation

Guardian's Occupation

Student Mobile No. *

Parent Mobile No. *

Student E-mail ID *

Parent E-mail ID

Religion *

Nationality *

Caste *

Sub-Caste

S.C. S.T. Cat. I Minority Cat. 2A Cat. 2B Cat. 3A Cat. 3B GM

Declaration by Candidate: I hereby declare that the above information is true and correct to the best of my knowledge and belief. I promise to abide by the regulation of the University and College Authorities. I hereby agree to attend the Sports / NCC / NSS / YRCS Curricular and Co-curricular activities. I promise that I do not indulge in any kind of ragging. I undertake to attend not less than 75% of the classes held in each subject. I agree to pay the prescribed fees in time and not claim refund.

Declaration by Parent / Guardian: I have read the rules and conditions for admission of my ward to this college. I shall be responsible for his/her payment of fees and charges, good conduct, behavior, attendance, and discipline during the period of stay in the College.