Admission Form

Class *
First Name *
Middle Name
Surname *
Gender *      
Date of Birth *
 -   - 
Age * (as on 31-03-2019)

PLACE OF BIRTH

Vill/City
District
State
Country
Nationality *
Community *
Caste
(if other please specify)
Father Name *
Occupation *
Mother Name *
Occupation *

PERMANENT ADDRESS

Vill/City
District
State
Postal Code

PRESENT ADDRESS (Address for Correspondence)

Vill/City
District
State
Postal Code
Primary Contact No *
Email Id

Local Guardian’s Details

Name
Relationship
Phone(Office)
Phone(Res)
Mobile No

Institution last attended (Class XII):

Full Name
State State
Board/Exam Name
Roll No
Month/Year of pass
No of Attempts
Medium of Instruction

For Transfer Students Only

College last attended
Sujects
RGU Reg. No
Exam Roll No.
Exam Passed
No. of attempts
Reasons for Transfer
STATEMENT OF MARKS

(Transfer Students shall enter Marks of the last exam passed)

Subjects Max. Marks Marks Obtained
Compulsory English
Optional Subjects
1.
2.
3.
4.
5.
Total Marks
Percentage (excluding Com. English)(%)
SUBJECTS OFFERED

(Indicate your choice)

Subject Offered Indicate your Choice in the order of preference
1. Elective English
2. History
3. Geography
4. Political Science
5. Sociology/Anthropology
6. Education

Non-Arunachalee to fill in the following

ILP No
Place of Issue
Date of Issue
Valid until

UPLOAD PHOTO

Photo
Signature

Documents Upload

Class X Certificate
Class XII MarksCard
Transfer Certificate
ST/SC Certificate
RGU Registration Card †
Inner Line Permit
Migration Certificate

UNDERTAKING BY THE APPLICANT


* I promise to abide by the rules and regulations of the college and prove myself to be a worthy Desalites and a blessing to society.

* I fully realize and accept that if I do not put in at least 75% of attendance in each subject at the end of the semester as per the university regulations, do not get at least the minimum pass mark for the college examinations as per the norms of the college, do not submit all the assignments and projects, and do not live up to the mission and values of the college and my conduct is not exemplary, the Principal has the right to dismiss me/detain me from the semester examinations conducted by the university. I shall abide by any decision taken on this regard.

* I also fully understand that any association with unlawful organisation is strictly forbidden and will result in my immediate dismissal from the college.

* All the information given above is true and honest to the best my knowledge.