{# #} {% set markDivwidth = 50 %} {% if ('eleventhMarkEntry' in allFormFields or 'ELEVENTH' in allFormFields) %} {% set markDivwidth = 100/3 %} {% endif %}


{{student.applicationNo}}
{{college.collegeName|upper}} {{college.autonomous?( college.autonomous|slice(0, 2)|upper):''}}{{college.autonomous?(college.autonomous|slice(2)|lower ):''}}

{{college.collegeAddress}} {{college.collegeAddress1}} {{college.collegeAddress2}}

{{college.collegePhone}}

{{college.collegeWebsite}}

{{college.collegeEmail}}

{{form.name}}
PERSONAL INFORMATION
Name {{student.studentName|upper}} Gender {{student.gender}}
Date of Birth {{student.dateOfBirth|date("d/m/Y")}} Religion {{student.religion}}
Student E-mail {{student.student_email}} Category {{student.studentReservationId}}
Student Contact No {{student.studentMobile}} Are you a Single Girl Child {{student.areYouAnOnlyChild}}
Blood Group {{student.bloodGroupId}} Marital Status {{student.maritalStatus}}
Nationality {{student.nationality}} Place & State Of Birth {{student.placeStateOfBirth}}
Tribe {{student.tribe}} Aadhar No {{student.aadharNo}}
Person With Disability {{student.personWithDisability}} Employment Status {{student.employmentStatus}}
Are You A Non Arunachalee Student {{student.aREYOUANONARUNACHALEESTUDENT}}
PROGRAMME APPLYING FOR
Honours First Preference: {{student.choice1}} Honours Second Preference: {{student.choice2}}
ADDRESS
Permanent Address
Address Line 1 : {{student.permAddressLine1}} Address Line 2 : {{student.permAddressLine2}}
PIN : {{student.permPin}} Country : {{student.permCountry}}
State : {{student.permState}} District : {{student.permDistrict}}
Communication Address
Address Line 1 : {{student.commuAddressLine1}} Address Line 2 : {{student.commuAddressLine2}}
PIN : {{student.commuPin}} Country : {{student.commuCountry}}
State : {{student.commuState}} District : {{student.commuDistrict}}
PARENT / GUARDIAN DETAILS
Father's Name {{student.salutation}} {{student.fatherName|upper}} Mother's Name {{student.salutationMother}} {{student.motherName|upper}}
Father's Occupation {{student.fatherOccupation}} Mother's Occupation {{student.motherOccupation}}
Father's E-mail {{student.fatherEmail}} Mother's E-mail {{student.motherEmail}}
Father's Phone Number {{student.fatherMobileNo}} Mother's Phone Number {{student.motherMobileNo}}
Guardian Details
Guardian's Name {{student.guardiansName}} Relationship {{student.rELATIONSHIPWITHSTUDENT}}
Gender {{student.guardianGender}} Guardian Occupation {{student.guardianOccupation}}
Address Line 1 {{student.guardianAddressLine1}} Guardian Mobile No {{student.guardianMobileNo}}
Guardian Email {{student.guardianEmail}}
ACADEMIC DETAILS (Class XII / Equivalent)
Board {{student.twelfthBoardStream}} Stream {{student.twelfthStream}}
Class XII Result {{student.classXllResult}} Name Of Institute {{student.nameOfSchool}}
Medium Of Instruction {{student.modeOfInstruction}} Roll No / Registration No {{student.hssRegNumber}}
ABC / APAAR ID {{student.dOYOUHAVEABCACADEMICBANKOFCREDITS}}
{% for mark in student.twelfthMarkEntry %} {% endfor %}
Subject Max. Marks Marks Obtained Percentage
{{mark.subjectName}} {{mark.maxMark}} {{mark.markObtained}} {{mark.percentage}}
Total : {{student.textField}} {{student.totalMarks}} {{student.percentage}}
Year Of Passing {{student.yearOfPassing}}
CUET DETAILS
Have You Appeared For CUET {{student.hAVEYOUAPPEAREDFORCUET}}
CUET Application Number {{student.cuetApplicationNu}} Paper Code {{student.paperCode}}
Paper Title {{student.paperTitle}} Roll No {{student.rollNo}}
Date of Examination {{student.dateOfExamination}} Maximum Marks {{student.textField1}}
Marks Obtained {{student.totalMarks1}}
Other Preferences
Do You Want Hostel Facility {{student.doYouWantHostelFacility}}
Do You Want Transportation Facility {{student.doYouWantTransportationFacility}}
Do You Have A Diploma In Computer Application {{student.doYouHaveADiplomaInComputerApplication}}

UNDERTAKING BY THE APPLICANT

  • I promise to abide by all the rules and regulations of the college and prove myself to be a worthy Claretine and a blessing to society.
  • I fully realise and accept that if I do not put in at least 75% attendance in each subject as per UGC and RGU regulations, do not get at least the minimum pass mark in the Continuous Internal Assessment as per University norms, and do not live up to the mission and values of the college and my conduct is not exemplary, the Principal has the right to dismiss me/detain me from the examinations conducted by the university. I shall abide by any decision taken in this regard.
  • I also consent to the Governmental and College norms regarding the minimum attendance percentage (75%) for eligibility for stipends and scholarships.
  • I promise to abide by the anti-ragging rules.
  • I promise that I will not indulge in ragging or any form of violent behaviour. Neither will I tolerate being ragged or subjected to violence. I understand that if I am accused of ragging, the responsibility is on me to prove that I am not guilty. I will not remain a spectator to acts of ragging. I will report the matter immediately to my Principal/Director and/or to the Anti-Ragging Committee of the College.
  • I also fully understand that any unionising and/or association with unlawful organisations is strictly forbidden and will result in my immediate dismissal from the college.
  • I will refrain from using or possessing contraband substances including tobacco-related products, paan, gutkha, alcohol, narcotic drugs, or any other similar substances. If found guilty of using or even possessing contraband, I will subject myself to whatever decision is taken by the College Authorities.
  • All the information given above is true and honest to the best of my knowledge.

UNDERTAKING BY THE PARENT/GUARDIAN

In the event of the above applicant, my son/daughter/ward, being admitted to the SCCZ, I undertake to regularly monitor and be responsible for his/her conduct, attendance, and progress in studies. I promise to co-operate fully with the college authorities in realising the educational formation of the ward and abide by any decision taken by the authorities in the event of his/her misconduct. I also undertake to pay on time all his/her dues to the college till the completion of his/her studies.


Signature of the Parent / Guardian Signature of the Student
FOR OFFICE USE ONLY:
Date of Admission: Manager/Chairman Principal's Signature