Application

Academic and non-academic activities that enrich learning beyond classrooms
Jai Bharath College Logo
JAI BHARATH COLLEGE OF MANAGEMENT & ENGINEERING TECHNOLOGY
( KTU )
Arakkappady, Ernakulam, Kerala 683556
Phone: +91 9562118591   Email: office@jaibharathengg.com
APPLICATION FOR UNDERGRADUATE PROGRAMME
I. Personal Information
NameDOBGenderAge
Address
CityStateNationality
ReligionCasteCategory
MobileEmailBlood Group
UID
II. Parent / Guardian Information
NameRelationMobile
EmailOccupationAnnual Income
Father's Educational QualificationMother's Educational Qualification
III. Qualifying Examinations
ExaminationBoard/UniversityReg. NumberMarksOut ofPercentage
IV. Marks Scored in the Qualifying Examination
SubjectMarksOut of
SubjectMarksOut of
V. Details of Last Studied Information
Examination Passed
Reg. No.Month & YearNumber of Chances
TC. No.Institute Name
Stream Of study
VI. Class / Weightage Applicable
NSSSPORTSNCCGRADE
VII. Admission Sought for
Choice 1Index
Second Language
VIII. Facilities
Hostel facilityBus facilityBus boarding point
Add on courseAdd on course name
Declaration
I hereby declare that the information given above are correct and true to the best of my knowledge and belief. Also, I hereby undertake, if admitted, to abide by the rules and regulations of the college and the orders and instructions of the teachers and Principal of the college.
Place:
Date:
Signature of Applicant
I do guarantee the good conduct of my ward and payment of all his/her dues to the college during the programme of study.
Signature of the Parent/Guardian
Fee Details