AL-AMEEN MEMORIAL MINORITY COLLEGE
APPLICATION FORM FOR DEGREE HONOURS/GENERAL COURSE
FOR ADMISSION TO CLASS : B.A. 1st YEAR, SESSION 2017-18
PLEASE DO NOT REFRESH OR PRESS BACK BUTTON WHILE DOING THE ENTRY!
Please fill all fields and upload all images!
FULL NAME hE22xH99
FATHER’S NAME
MOTHER’S NAME
RELIGION
Sex
COMMUNITY
CASTE
NATIONALITY
DATE OF BIRTH
(According to Madhyamik Admit Card)
 (DD-MM-YYYY)
BLOOD GROUP
LOCAL GUARDIAN’S NAME
OCCUPATION OF GUARDIAN
(Declaration regarding guardian’s occupation must be enclosed, if BPL,enclose BPL certificate)
GUARDIAN’S MONTHLY INCOME
PERMANENT ADDRESS
Mobile No
PRESENT ADDRESS
Mobile No
RESULT OF H.S/EQUIVALENT EXAM.
YEAR
ROLL NO
GRAND TOTAL
RESULT
COUNCIL/BOARD
STATEMENT OF MARKS SECURED NO. H.S/EQUIVALENT EXAMINATION
SUBJECT TOTAL
MARKS
GRADE
SUBJECT PROPOSED TO BE TAKEN UP (IN ACCORDANCE WITH PROSPECTUS)
HONOURS BNGM ENGC ENVS
GENERAL BNGM ENGC ENVS
School /College attended (with address)
The Board/University from which the student migrated
Transffered From
UPLOAD YOUR COLORED PASSPORT SIZE PHOTOGRAPH AND
PUT SIGNATURE TO ENSURE THAT YOUR ENTRIES ARE CORRECT
APPLICANT'S PHOTO
APPLICANT'S SIGNATURE