SSRKT Junior Registration Form

SEVA SADAN'S

Ramchand Kimatram Talreja Junior College (AIDED)

Chhatrapati Shivaji Maharaj Chowk, Ulhasnagar, Thane, Maharashtra - 421003
Email: principalrkt@yahoo.com
Tel: +0251-2730297

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.

Student Details Student Address Parents Information Examinations Information, Subject & Documents

Student Details

Class*

Academic Year*

Student Admission Type*

MU. Number*

Student Type*

Cast Category*

Caste*

Date of Birth (As per Aadhar Card)*

Gender*

Mother Tongue*

Blood Group*

Have you passed SSC Examination From New Era School?*

Physically Challenged*

Sindhi / Other Than Sindhi*

Student Particulars

Student Surname*

Student First Name (As per Aadhar Card)*

Father's/Husband's Name*

Mother's First Name*

Place of Birth*

Place of Domicile*

Religion*

Nationality*

Student Aadhaar No.*

Student Mobile No.*(Click here to get OTP)

OTP*

Student Email ID.*(Click here to get OTP)

OTP*

Applicant Image* Choose a file
(Upload Standard Passport size Photo, uploading selfies and other type of Photos will reject students application form) (Max Size - 800KB) (JPG/PNG)

Local Address

Address*

Nationality*

State*

City Local*

District*

Pin Code*

Permanent Address
Check this box if Local Address and Permanent Address are the same.

Address*

Nationality*

State*

City

District*

PIN Code*

Father's Information

Father Last Name*

Father First Name*

Father Middle Name

Occupation*

Qualification*

Mobile No.*(Click here to get OTP)

OTP.*

Office No.

Office Address

Total Annual Income*

Mother's Information

Mother Last Name

Mother First Name*

Mother Middle Name

Occupation

Qualification

Mobile No.

Office No.

Office Address

Total Annual Income

Previous School Histories

Name of Last School Attended*

Last Class Attended*

10th Board of Passing*

Year And Month of Passing*

10th Seat Number*

No. Of Attempts*

Marks Obtained*

Out of marks*

Class and Grade Obtained*

Medium of Instruction*

UDISE No.*

Student ID no.*

Document To Be Submitted Along With Admission Form

I have read all the rules and regulations in force at present and hereby agree to promise that, while, I am student of R.K.Talreja College, Ulhasnagar-3, I shall do nothing to obstruct or *bring* interference in any with its orderly governance of discipline, and that I shall devote my entire attention to the futherance of studies. I will attend minimum 75% of lectures and practicals in both the terms. I also promise that I shall inform the Principal in writing in case I decide to discontinue my education or college in the middle of the year. The information submitted above is correct. I endorse the application and declaration made there in.
I *agree to pay additional fees as and when revised by Govt. and college authorities*

SEVA SADAN'S

Ramchand Kimatram Talreja Junior College (AIDED)

Chhatrapati Shivaji Maharaj Chowk, Ulhasnagar, Thane, Maharashtra - 421003 Email: principalrkt@yahoo.com Tel: +0251-2730297

Chhatrapati Shivaji Maharaj Chowk, Ulhasnagar, Thane, Maharashtra - 421003
Email: principalrkt@yahoo.com
Tel: +0251-2730297