MOBILE-9734950717, 9153776019, EMAIL-rcoeokersa@gmail.

com
URL-www.rcoeokersa.webs.com
ADMISSION CUM ENROLMENT FORM

Course applied for:

Name (IN CAPITAL):Mr./Mrs./Miss_____________________________________________________________

Father's/Husbands Name: __________________________________________________

Occupation (Self/Father/Husband): __________________________________________

Ph/Mob: ________________________________________

Address

Area/Village: _______________________ Post: ____________________________

City:________________ Dist.: ____________________ Pin: _______________________

Mobile: ___________________ E-mail: _________________________

Date of Birth (DD/MM/YYYY): Nationality: ________________

Religion: __________________ Gender (please tick): Male / Female

Category (please tick): General / SC // ST /OBC

Academic Qualification(s):- VIII - /MP - /HS - / Graduation -

Are you still a student? If yes, give details: _____________________________________________________
Are you employed? If yes, give details: ________________________________________________________
How did you know about us? (Please tick): Internet / Newspapers /Friends / Others

I, _____________________________, son/daughter/wife of ___________________________________ hereby
declare that the information given above is true to the best of my knowledge and belief. I shall do my level best with heart and soul to pass Examination.
I hereby undertake to obey and comply with all the Rules & Regulation (mentioned in page 2)


(2)

GOVT. OF W.B. REGD. NO. : G-608/09
Attach Photo

Important Rules & Regulation:

All students who are admitted to any course in our institute are expected to abide by the rules
and regulations mentioned here.
Every student is expected to maintain discipline in and outside the institute. In case of violation
of any of the rules of discipline and non-seriousness towards study the institute reserves the right
to dismiss any student without any claim for the refund of fees.
The institute reserves the right of change the faculty, timetable or process of guidance and
coaching at any time without prior notice.
Two copies of passport size photo of the student are compulsory and can be used by the institute
time to time for publicity with his/her actual candidature as mentioned above.
The fee once paid shall neither be refunded nor adjusted under any circumstances.
After getting admission with us, aspirant must be engaged himself/herself in regular studies to
cope up with the consistency as well as perseverance to pass the exam.
The material supplied to the student is our Intellectual Property.
In all matter, the decision of the Institute shall be final.



_____________________________ ____________________________________________
Counter Signature of Signature of the Student
Father/Husband/Guardian of the Candidate


Date: __________________

Place: __________________

N.B. : The decision taken by the RCOE on your above application shall be final and binding.