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VICTORIA COLLEGE OF EDUCATION
72/10, Madhubhan Farm House, Nayapura, Kolar Road, Bhopal
          *Passport size Photo
Application For Admission Session
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Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/vcebhopa/public_html/admission_form.php on line 109

Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/vcebhopa/public_html/admission_form.php on line 110
2018  -  2019
         
  Form No. : 
  *Course : 
  *Year :   
Select appropriate option:      
*Category :
*Medium of instruction :
   
             
Marks obtained in the qualifying examination:      
* Year of passing :
* Class :
     
* Stream :
     
  Year :
  Semester :
* Enrolment No. :
* Roll No. :
* Marks obtained :
* Total Marks :
  Grade :
* Institute :
     
* Board / University :
     
* Enclose Marksheet :
       
Subjects/ Papers taken at Graduate/ Post Graduate level:      
* Compulsory :
  Optional :
  Practical :
  Foundation :
       
*Date of Birth (In Figures) : Click Here To Pick A Date!    Blood Group :
In words :
Age (As on 1 July
Warning: date(): It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected the timezone 'UTC' for now, but please set date.timezone to select your timezone. in /home/vcebhopa/public_html/admission_form.php on line 469
2018):
Years:    Months:   Days:  
       
1.  Full Name of the Applicant      
  Salutation First Name Middle Name Last Name
*
* Contact No. :  
* Email Address :  
 
   
2.   *Full Name of Father and Occupation :  
      Salutation First Name Middle Name Last Name
  Name :
  Occupation :
     
3.   *Full Name of Mother and Occupation :  
      Salutation First Name Middle Name Last Name
  Name :
  Occupation :
     
4.  Full Name of Husband and Occupation :  
      Salutation First Name Middle Name Last Name
  Name :
  Occupation :
     
5. *Permanent Address :
  Telephone No. :  -
6. *Local Address   Same as above
    :
  Telephone No. :  -
7.   Name, Address and occupation of the local guardian in case parents do not reside with you:
  Name :
  Occupation :
  Address :
  Telephone No. :  -
  Mobile No. :
 
8.   Name of railway station (enclose certificate, permanent address for availing railway concession):
  Address :
  Certificate :
 
9.   *Nationality  :  
10. Place of Birth:
  *Tehsil :
     
  *District :
     
  *State :
     
11. Is the applicant domicile of M.P. : Yes   No      
12. Is there any gap in studies:  
  Years of gap :
13. Is there any legal case/issue pending against the applicant in any court of law / police station / Institution previously studied? If yes tick the box
14. Is applicant in service? If yes tick the box
15. Details of examinations passed: (Fill up entire information)
*(a)Secondary 10th
  Roll Number :
  Enrolment Number :
  Year of passing :
  Grade :
  Marks obtained :
  Total Marks :
  Regular / Private :
  Subjects :
     
  Name of Institute :
     
  Name of Board / University :
     
  Enclose Marksheet :
*(b)Higher Secondary 10+2
  Roll Number :
  Enrolment Number :
  Year of passing :
  Grade :
  Marks obtained :
  Total Marks :
  Regular / Private :
  Subjects :
     
  Name of Institute :
     
  Name of Board / University :
     
  Enclose Marksheet :
(c) Graduation :
(d) Post Graduation :