Application Form
( Session 2024 - 2025 )
1. Academic Information
Course *
Select Course
Stream *
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Year *
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2. Candidate's Personal Information
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Upload Your Recent Photo
(Size Should Be Less Than 100kb) *
University-Web Registration No*
Name *
Date of Birth *
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MM
January
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December
YYYY
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2008
2009
2010
2011
2012
2013
2014
2015
2016
Gender *
Male
Female
Any Other
Mobile *
Email *
Category *
SELECT
General
OBC
SC
ST
Differently Abled
Other
Religion *
Select
Hindu
Muslim
Christian
Hindu Nepali
Sikhism
Buddhism
Jainism
Judaism
Bahai
Other
Upload your Baptism/Confirmation/Church Membership certificate
Nationality *
Select Nationality
NRI
INDIAN
FOREIGN NATIONAL
Country *
Select
India
Nepal
Bangladesh
United Arab Emirates
Nigeria
Mauritius
Uganda
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Bouvet Island
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the (Zaire)
Congo, Republic of
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe (French)
Guam (USA)
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast (Cote D`Ivoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique (French)
Mauritania
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
Netherlands Antilles
New Caledonia (French)
New Zealand
Nicaragua
Niger
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Polynesia (French)
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste (East Timor)
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Ukraine
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wallis and Futuna Islands
Yemen
Zambia
Zimbabwe
British
Korean
French
Thai
Zanzibar
Domicile State *
Select State
Permanent Address *
District *
Select 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 *
* Input digits (0 - 9)
Local Guardian's Name
Guardian's Mobile
4. Educational Qualification Information
Particulars of High School (Class X or Equivalent) Examination.
Upload High School Certificate*
(Width 500-750px - Height 800-1200px)
Particulars of Intermediate (Class XII or Equivalent) Examination.
Year*
YEAR
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
Board *
School / College Name *
Medium of 10+2 Exam*
Upload Intermediate Certificate*
(Width 500-750px - Height 800-1200px)
Marks Entry By
Marks
Grades
(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
Total Maximum Marks
Total Marks Obtained
Index
Total Maximum Grade
CGPA
Index
Class
Year
Max Marks
Obtain Marks
Result Status
UG-I
YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
Select Result
Pass
Fail
Pending
UG-II
YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
Select Result
Pass
Fail
Pending
UG-III
YYYY
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
Select Result
Pass
Fail
Pending
Upload UG-I Marksheet Certificate*
(Width 500-750px - Height 800-1200px)
Upload UG-II Marksheet Certificate*
(Width 500-750px - Height 800-1200px)
Upload UG-III Marksheet Certificate*
(Width 500-750px - Height 800-1200px)
5.
Weightage Information
NCC
C/G2
B/G1
240 hr. Camp
None
(upload certificate)
(Width 500-750px - Height 800-1200px)
Represented University in National Competition
First Prize
Second Prize
Third Prize
Participation
None
(upload certificate)
(Width 500-750px - Height 800-1200px)
Represented University in Inter-University Competition
First Prize
Second Prize
Third Prize
Participation
None
(upload ncc certificate)
(Width 500-750px - Height 800-1200px)
Represented college in University Level Rovers & Rangers Rally
Prize
None
(upload certificate)
(Width 500-750px - Height 800-1200px)
OR
College Rovers & Rangers participating in Inter University Level
First Prize
Second Prize
Third Prize
Participation
None
(upload certificate)
(Width 500-750px - Height 800-1200px)
Sport
State / National / International level events
1st prize
2nd prize
3rd prize
Only participants
None
(upload sport certificate)
(Width 500-750px - Height 800-1200px)
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 *
(Width 150- 400px Height 50-100px)
Payment Mode
Select
Online