Research Paper Cbse
Common Application Form for Admission to Higher Secondary Classes
Department of Higher Education, Government of Orissa
For office use only Money Receiptcum Index Number
(Main Form)
The application form should be filled in CAPITAL LETTER only. 1 Name of the Board from which you have passed the
10th, Year & Examination Roll Number (As in admit card)
Board/ State Year of Passing 10th Board Roll No.
2
Total no. of choices you have opted (Main & Addl. Form)
This application form is valid for admission to 60 Junior Colleges s (i.e. 51 Government Junior Colleges & 9 Lead Aided Junior Colleges)
Full name of 3 the applicant 4 Father's Name Affix your self attested (on the front) recent colour passport size photographs here
5 Mother's Name (If parents are not alive please give guardian's name & address) 6 Address for Correspondence a. House No. b. Street/Village c. Post Office e. Police Stn. g. State i. Telephone (with STD Code) ( ) j. j Mobile (for SMS Service) k. e‐Mail Address 7 Permanent Address (It may not be filled up, if Permanent Address is same as Correspondence Address) a. House No. b. Street/Village c. Post Office e. Police Stn. g. State i. Telephone (with STD Code) 8 Personal Details a. Blood Group e. Category [Put tick ( e(1) d. Block/ULB f. District h. PIN Code
d. Block/ULB f. District h. PIN Code
b. Sex
c. Religion
d.
DOB
D
D
/
M
M
/
Y
Y
Y
Y
For 8(c) code, i.e. Religion, please refer to Instruction Manual
) below the category applicable in the box] e(2) Reservation SC ST PH/OH ESM SDP CoM
Weightage Scout Guide PR RP Sports S N IN
NCC A C
f. Whether you are an Outside State Applicant (OSA)? (Y/N) g Whether you are an Oriya Living in Neighbouring State (OLNS)? (Y/N) h. Are you employed? (Y/N) 9 Nationality 11 Father's Occupation 13 Annual Income of the Parents (Together) in Rupees
If yes, then please give NOC/Income Certificate from the organistaion where
Department of Higher Education, Government of Orissa
For office use only Money Receiptcum Index Number
(Main Form)
The application form should be filled in CAPITAL LETTER only. 1 Name of the Board from which you have passed the
10th, Year & Examination Roll Number (As in admit card)
Board/ State Year of Passing 10th Board Roll No.
2
Total no. of choices you have opted (Main & Addl. Form)
This application form is valid for admission to 60 Junior Colleges s (i.e. 51 Government Junior Colleges & 9 Lead Aided Junior Colleges)
Full name of 3 the applicant 4 Father's Name Affix your self attested (on the front) recent colour passport size photographs here
5 Mother's Name (If parents are not alive please give guardian's name & address) 6 Address for Correspondence a. House No. b. Street/Village c. Post Office e. Police Stn. g. State i. Telephone (with STD Code) ( ) j. j Mobile (for SMS Service) k. e‐Mail Address 7 Permanent Address (It may not be filled up, if Permanent Address is same as Correspondence Address) a. House No. b. Street/Village c. Post Office e. Police Stn. g. State i. Telephone (with STD Code) 8 Personal Details a. Blood Group e. Category [Put tick ( e(1) d. Block/ULB f. District h. PIN Code
d. Block/ULB f. District h. PIN Code
b. Sex
c. Religion
d.
DOB
D
D
/
M
M
/
Y
Y
Y
Y
For 8(c) code, i.e. Religion, please refer to Instruction Manual
) below the category applicable in the box] e(2) Reservation SC ST PH/OH ESM SDP CoM
Weightage Scout Guide PR RP Sports S N IN
NCC A C
f. Whether you are an Outside State Applicant (OSA)? (Y/N) g Whether you are an Oriya Living in Neighbouring State (OLNS)? (Y/N) h. Are you employed? (Y/N) 9 Nationality 11 Father's Occupation 13 Annual Income of the Parents (Together) in Rupees
If yes, then please give NOC/Income Certificate from the organistaion where