Online Admission:Pragati College

Pragati College of Arts and Commerce, Dombivli

Online Admission Form (Junior College 11th)

Student Allotment Date on Portal for Admission *

Course Admitted to *

Online Application Form Number *

1. PERSONAL INFORMATION SECTION

Name as per Aadhar Card

Surname *

First Name *

Father's Name *

Mother's Name *

Surname in Devnagaree *

First Name in Devnagaree *

Father's Name in Devnagaree *

Mother's Name in Devnagaree *

Father/Husband Surname *

Father/Husband Father's Name *

Father/Husband Grandfather's Name *

Date of Birth *

Place of Birth *

Gender *

Male

Female

Blood Group

Religion *

Nationality *

Aadhar Card No *

ABC ID/APAAR ID *

Local Residential Address 1 *

Local Residential Address 2 *

Local Residential Address 3 *

Local Residential Address City *

Local Pincode No. *

Native Place Address

Native Pincode No.

2. CONTACT DETAILS

Student's Mobile no.

Student's Email Id *

Father/Mother Mobile no. *

3. CATEGORY

Caste *

Sub Caste *

4. EDUCATION DETAILS: 10th

Name of the School/College

Name of the Board

Examination Seat No.

Total Marks

Pass/Fail *

Pass

Fail

5. GUARDIAN INFORMATION SECTION

Father/Mother/Guardian Name

Occupation

Whatsapp No.

Annual Income

Upload Passport Size Photo

Only jpg file / File Size should less than 500 kb / Photo Dimensions (width and height) must be less than 250 Pixels. Ideal Dimensions are: 250 X 250 Pixels

Upload Student Signature

Only jpg file / File Size should less than 500 kb / Photo Dimensions (width and height) must be less than 250 Pixels. Ideal Dimensions are: 150 X 80 Pixels