KLB DAV COLLEGE FOR GIRLS

Palampur(H.P) India
Sr. No_____________ Session_______________
Teaching subjects offered:-

1.______________________
2.______________________
_______________________
Date of Admission______________

College Roll Number to be Alloted by the office:
Entrance Test
Roll No._________________________
Rank Achieved:_____________________
Marks Obtained:_______________________


1) Internal / External ______________________________________________ Attest Your Photo Here
2) Open Merit / reserved Category ______________________________________________
3} Name of Candidate ______________________________________________  
4) Date of Birth ( In Words ) ______________________________________________  
5) Father's Name ______________________________________________  
6) Mother's Name ______________________________________________  
7) Address for Correspondence ______________________________________________  
  __________________________________________________________________________  
8) Academic Qualification :-  
S.No Examination Passed Board / University Year of Passing Roll No. Marks Obtd. % of Marks
1. Matric          
2. 10+2          
3. B.A. / B.Sc./ B.Com.          
4. M.A. /M.Sc. / M.Com.          
9) Any Other Qualification(Professional) __________________________________________________________
10) Stream Claimed :Humanities / Science Group __________________________________________________________
11) Marital Status __________________________________________________________
12) H.P University Regn .No __________________________________________________________
13) Nationality __________________________________________________________
14) Category :- ( Gen /SC /ST /OBC) __________________________________________________________
15) Course of Admission __________________________ University _______________________________________
16) Medium of Study (English /Hindi ) ________________________________________________________________
17) Permanent Address :-
Name _________________________________________
Father's/Husband's Name
__________________________
Vill / Street _________________________________________
P.O
 __________________________
Teh /City _________________________________________
Distt
 __________________________
State _______________________ Pin Code _____________________ Tel No _______________________
Sign .Of Father / Guardian Sign. of Candidate
Full Address  
Roll No : ____________________________  
Name : ____________________________ Name: ________________________________
Address: ____________________________ Address: ________________________________
Teh / Town : ____________________________ Teh / Town: ________________________________
State: ____________________________ State ______________ Pin_______________
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