Application for Admission 2022

NOTE:

  • Please read the form carefully before filling it
  • Incomplete form will be rejected without intimation.
 Form No. Fore Office Use Only       
 
Registration No:   JR3106141635527

1. Programme Applied For :

2. Personal Details

Name:
Date Of Birth: Gender: Blood Group:
Nationality: Religion: Aadhar Number:
Category:

3. Contact Details

Residential Address : Pin Code:
Address for Comm. / Local Contact(for Out Station Candidates)
Pin Code: Phone No: Student Mobile No:
Email:

4. Parent Details

Parent’s Name (Father & Mother) Occupation(give full details) Office Address Office Tel No. Mobile No Mail ID
Parent's Income(₹../ Per Month) :

5.Details of contact person in case of an emergency

Name of Contact Person (other than Parents) Address Mobile No. & Tel. No. (Res. Off.)

6. Academic Qualification

Exam Passed Name of School/ College Last Attended Name of Board / University Year of Passing Subjects/ Stream Opted Marks obtained in aggregate/ Total Marks %
X
XII
Graduation
Any other course

7.Achievements

Achievements in Sports/ Extra Curricular Activities

8.From where did you come to know about JCC and the program offered



Any other medium :
Payment Mode :



Student's Declaration:
Sir,
I wish to apply for admission to JCC, Delhi, for a skill based programme, catering to my choice of career. I agree to the norms that degree will be awarded to me after the successful completion of continuous evaluation from time to time. I accept to be assigned classes/ teaching to any of the campus of the institute in Delhi-NCR without any prior notice. I also submit my compliance to the disciplinary jurisdiction of the JCC.
I certify that the information given by me is correct and complete to the best of my knowledge and belief.
I agree that misrepresentation, concealment or omission of any fact will justify the denial or cancellation of my admission, or expulsion from the institute. I am aware that the fees once paid is not refundable for any reason, whatsoever.
I promise to abide by all the rules and regulations of the institute. *

Parent’s Declaration:
I undertake that my son/ daughter   applying for admission to   course will be subjected to the Institute’s disciplinary rules and regulations.
I further undertake to pay all the dues of the Institute in time. *

Admission:
We recommend the applicant for admission (Provisional) to   after having verified his/her original certificates and accept prescribed fees from the applicant. However, his/her admission is subject to the approval of the Governing Body of the Institute.

Date: Thursday, October 6, 2022

  

JCC
Community Centre, (Near Police Station) Sector-3, Rohini, Delhi-110085
Ph: 45184100
Email: admissions@jims.in