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admissions@usbeducation.org
Welcome To SHRI U.S.B. Group Of College
ADMISSION FORM
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Home
About Us
About Shri U.S.B. Group
Admission
Student Life
Seminars & Workshops
Training & Placement Cell
Courses
Bachelor of Physiotherapy
B.Sc Nursing
B.Ed (Bachelor Of Education)
Polytechnic (Diploma)
Mechanical Engineering
Electrical Engineering
Civil Engineering
Pharmacy (Diploma)
D.A.N. & P
B.S.T.C
I.T.I
Facilities
Gallery
Events
News
Contact Us
Admission Form
Applicant Details
NAME OF APPLICANT
*
enter complete name of applicant
DATE OF BIRTH
*
enter your DOB
GENDER
*
Male
Female
RELIGION
*
enter your religion
Mobile No./ Contact Number
*
enter your mobile number.
Email
enter email id.
.
PARENT'S DETAILS
FATHER'S NAME
*
Enter you father's name
Contact Number
*
Enter you father's contact number.
MOTHER'S NAME
*
Enter your mother's name.
Contact Number
Enter your mother's contact number
ADDRESS DETAILS
ADDRESS for CORRESPONDANCE
*
Enter your mailing address.
PERMANENT ADDRESS
*
Enter your permanent address
INCOME & PARENTS OCCUPATION DETAILS
PATENT'S OCCUPATION
*
Enter occupation of your parent. (use comma for multiple occupations.
FAMILY INCOME
*
Choose expected income of your family.
Below Rs 50,000
Rs 50,001 to Rs 1,00,000
Rs 1,00,001 to Rs 2,00,000
Rs 2,00,001 to Rs 4,00,000
Above Rs 4,00,000
ACADEMICS DETAILS
12th CLASS ACADEMIC DETAILS
12th CLASS SCHOOL NAME
*
enter your senior secondary school name
BOARD NAME
*
name of 12th class board.
YEAR OF PASSING
*
year of 12th class passing.
PHYSICS (MO/MM)
*
Enter marks obtained and total marks in physics
CHEMISTRY (MO/MM)
*
Enter marks obtained and total marks in physics
MATHS (MO/MM)
*
Enter marks obtained and total marks in mathematics.
AGGREATE MARKS %
*
Total percentage in all subjects
10th CLASS ACADEMIC DETAILS
10th CLASS SCHOOL NAME
*
enter your secondary school name
10th CLASS BOARD NAME
*
enter your 10th class board name.
YEAR OF PASSING
*
enter 10th class year of passing.
AGGREATE MARKS %
*
Total percentage in all subjects
ADMISSION CRITERIA
ADMISSION THROUGH
*
Your admission is based on..
REAP
JEE
DIRECT
LEEP
Other
ROLL NUMBER
Enter your roll number of above selected criteria
RANK
Your rank in selected criteria/
HOSTEL & OTHER ACHIEVEMENTS
HOSTEL REQUIRED
*
Do you need hostel ?
YES
NO
SPORTS ACHIEVEMENTS
*
STATE LEVEL
NATIONAL LEVEL
INTERNATIONAL LEVEL
NONE
SPORTS ACHIEVEMENTS
Short details about your sports achievements.
PAYMENT DETAILS
Directly Deposit Admission Fee: Bank Name -Syndicate Bank, Jaipur Branch-Malviya Nagar Branch, Jaipur Account Number-8304010002633 IFSC Code -SYNB0008304
MODE OF PAYEMENT
Choose your mode of fee payments etc.
By Cash
By Demand Draft
By Online (Paypal/ Debit/ Credit/ Internet Banking)
DEMAND DRAFT NUMBER
If you choose demand draft payment mode - enter payment details.
AMOUNT
Enter Demand Draft amount in INR.
DD Date
Date of issuing Demand Draft.
ISSUING BANK
Enter the bank name of DD issuing.
BRANCH
the name of bank branch.
Directly Deposit Admission Fee: Bank Name -Syndicate Bank, Jaipur Branch-Malviya Nagar Branch, Jaipur Account Number-8304010002633 IFSC Code -SYNB0008304
DECLARATION
I hereby declare that I have carefully read the instructions and particular supplied to me and that the entries made in this application form are correct to the best of my knowledge and belief. I understand that the decision of College is final in regard to selection of admission. If selected for admission, I promise to abide by the rules and regulations of the College and guidelines in the prospectus. The College shall have the rights to expel/ detain me from the College at any time after admission, provided that it is satisfied that I was admitted on false particulars furnished by me of my antecedents prove that my continuance in the College is not desirable. I agree that all disputed are subjected to that jurisdiction of the courts at Jaipur only. Fees paid on counselling and admission will not be claimed back under any circumstances
Date
*
PAPARENT SIGNATURE
Select a file:
STUDENT SIGNATURE
Select a file:
FINAL APPLICATION CHECK
Documents to be uploaded along with this online application form (Originals to be submitted at the time of admission)
DOCUMENTS ATTACHED
10th Class Marksheet
10th Class Certificate
12th Class Marksheet
12th Class Certificate
Transfer Certificate
Migration Certificate
Character Certificate
State Domicile Certificate
Caste Certificate
Income Certificate
8 Passport Photo
JEE/ REAP APPLICATION FORM
Others
DOCUMENTS UPLOAD
Select a file:
Verification
Please enter any two digits
*
Example: 12
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