Chitra P.G College

Online Application Form

Scheme

Programme Applied for

Year

Category

Campus Location

FullName

Gender

Date of Birth

Marital Status

Nationality

Telephone Number

Mobile

E-mail ID

Address of Communication

Exam passed Board/Univ. Subjects Year Aggregate Marks Percentage
X
XII
Any other Quatification

Declaration by Student :

Director

Chitra P.G College

Uttar Pradesh

Sir,

I wish to apply for admission at Chitra P.G College and promise to abide by the Rules and Regulations of the Institute. I certify that the information given by me in this application form is correct and complete to the best of my knowledge and belief. I understand and agree that misrepresentation concealment or omission of any fact will justify the denial or cancellation of the admission or expulsion from the Institute. I further declare that I shall submit myself to the disciplinary jurisdiction of the Director of the Institute.

Date

Place

Note :: Kindly ensure that all the fields are filled in correctly.

Rs.