Admission Form
Class: *
Medium:         Hindi/English:
Resident :
Indore Christian College, Indore (M.P.)
ADMISSION FORM
(Fill the Application form in BLOCK LETERS only)
Full Name of Applicant : *
Father's Name : *
Mother's Name : *
Local Address :
Pin :
Phone No.:
Permanebt Address :
Pin :
Phone No.:
Date of Birth :
Nationality :
Name of the course & year
in whitch admission is sought:
*
Main Subject : (i) (ii) (iii)
(iv) (v) (vi)
(vii) (viii) (ix)
Category :
(please tick () the appropriate box & submit certificate from competent authority)
Examination Passed : (Attach photocopy of marksheet of each exam. passed)
Name of Exam Year of Passing Board/University Division Percentage Upload
Last School/College attended :