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Admission Form

For Office Use Only
Student Registration/ ID No. Admitted-Y/N
Receipt No. Fees Received
Adm. Comm. Remark/Sign ...................................................................................................................
Sign of Clerk  ...................................................  Sign of Principal  ....................................................
Signature of the Candidate
(Sign. within the Box only)
1. Applicant's Full Name ( IN CAPITAL / BLOCK Letter Only)
  • First Name
  • Mother's Name
  • Father's Name
  • Surname
2. Address (Permanent)
Mobile No. Email
3. Aadhar No.   4. Date of Birth   - -   5. Age  
6. Subjects Offered
7. Mother Tongue :  8. Sex : Male    Female   9. Caste / Subcaste:
10. Reservation Category         1) SC      2) ST      3) VJ      4) NT      5) DT      6) OBC      7) General    8) SBC    
11. Concession         1) EBC      2) PTC      3) Scholarship      4) Freedom fighter      5) Freeship      6) Ex-servicemen      7) Full Fee    8) Other    
12. Concession enjoyed during last year  
13. Bank Name A/c.No.
14. School/College last attended
15. Educational details(A) Xerox ofMarksSheet (B)Xerox of School orCollege leavingCertificate last attended
(Attested by competent authority)
  • Exam. Pass
  • S/W
  • Year
  • Name of the Board
  • Roll No.
   Subject offered :   
   Marks Obtained       Out Of       Percentage    %       Attempt       Medium   
  • 1. Marathi
  • 2. English
  • 3. Hindi
16. If any gap in Education Y/N      (If yes please attach gap certificate)   
Certificates to be attached with the application form. (Whenever applicable)
1.   H.S.S.C Marksheet (True Copy) Duly Attested.   
2.   School / College Leaving Certificate in Original.   
3.   Original Migration Certificate. (if the student has passed exam from other than M.S.Board.Pune / other than Amravati University)   
4.   Caste Certificate   
5.   Game's Certificate   
6.   Income Certificate   
7.   Any Other   

Recommendation

Faculty :   Arts / Commerce   
Caste Category   
Signature of Committee member
 1. 
 2. 
 3. 
 4. 
Note: For more details please visit our website : www.lmmcollege.ac.in
Parent's Signature   
Student's Signature   
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I-Card

Name of the Student : 
Class : 
  Mobile Number 
Address : 

L.M.M. Arts, Commerce & Ashok Science College, Chandur Rly. Dist. Amravati

Acknowledgement

Form No.
Name of the Student : 
Class : 
  Sign of Clerk