WELCOME TO ST JOHN'S COLLEGE, AGRA

Name *

Date of Birth *

Gender *
Male Female Any Other

Mobile *

Email *

Category *

Religion *

Upload your Baptism/Confirmation/Church Membership certificate

Nationality *

Country *

Domicile State *

Permanent Address *

District *

PIN Code *

3.Parent's/Guardian's Information

Father's Name *

Father's Occupation *

Mother's Name *

Mother's Occupation *

Mobile *

Family Annual Income *

Local Guardian's Name

Guardian's Mobile

4. Educational Qualification Information

Particulars of High School (Class X or Equivalent) Examination.

Year*

Board *

School / College Name *

Medium of Exam*

Upload High School Certificate*

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Marks Entry By
Marks Grades

(Provide details of English plus minimum FIVE academic subjects as in class X mark sheet.)

(1) Subject-wise details

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name

Maximum Marks/Grade

Marks Obtained

Grade Points

Subject Name

Maximum Marks/Grade

Marks Obtained

Grade Points

Subject Name

Maximum Marks/Grade

Marks Obtained

Grade Points

Particulars of Intermediate (Class XII or Equivalent) Examination.

Year*

Board *

School / College Name *

Medium of 10+2 Exam*

Upload Intermediate Certificate*

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Marks Entry By
Marks Grades

(Provide details of English plus minimum FIVE academic subjects as in class XII mark sheet.)

(1) Subject-wise details

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name *

Maximum Marks/Grade *

Marks Obtained *

Grade Points

Subject Name

Maximum Marks/Grade

Marks Obtained

Grade Points

Subject Name

Maximum Marks/Grade

Marks Obtained

Grade Points

Subject Name

Maximum Marks/Grade

Marks Obtained

Grade Points

5. Weightage Information

NCC
C/G2 B/G1 240 hr. Camp None

(upload ncc certificate)
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Sport
State / National / International level events
1st prize 2nd prize 3rd prize Only participants None

(upload sport certificate)
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6. Other Information

References of Two Responsible Persons Not Related To You: *

1.Name

Mobile No.

Address

2.Name

Mobile No.

Address

Do You Come From Rural or Urban Area ? *
Rural Urban

DECLARATION/UNDERTAKING

I declare on oath that the information given above is correct and I am well aware of the fact that in case of the information being incorrect or my mark sheet being defective ,my admission shall be cancelled. I further declare on oath that during the period of my stay in the college, I shall observe the rules of good conduct and maintain good character and shall not participate in any undesirable or anti-social activity. I further declare that I shall observe all the directions as per University Act/Statutes and govt. orders Ordinances in maintaining discipline to the full satisfaction of the Principal , otherwise the college administration may take action as per rules. I am well aware of the fact that in case my class attendance is less than 75 percent, I may not be allowed to appear in the University Examination.

VERY IMPORTANT

As per the directions of the University Grants Commission, New Delhi, vide its letter No. F.1-812006(CPP-II) dated 04.03.2008, "if any incident of ragging comes to the notice of the authority, the concerned student shall be given liberty to explain and if his/her explanation is not found satisfactory, the authority would expel him/her from the institution." No student shall be admitted if he/she has more than 2 years gap in qualifying examination. If such a candidate has been admitted by the Convener of the Admission Committee, the admission will be cancelled.

I hereby state that all information, given by me, in this application form is correct. In case any information, given by me, is found incorrect, my candidature is liable to get cancelled. In submitting this application form , I accept all the admission rules of ST. JOHN'S COLLEGE, AGRA.

Signature of Parent *

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Signature of Applicant *

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