Common Application Form 18D100636

for Admission to Degree Colleges (2018-19)

Department of Higher Education, Government of Odisha
Applicant Copy +3
Monday, Jul 9, 2018 10:25:52 PM
For Official use only

Money Receipt-cum-Index Number College Code / Index No.  

Fees (Rs.)  300.00 Date of Submission at College   Signature of the Receiving Official

+2 Council Details CHSE, ODISHA 2018 Annual 131MC052

1
(as in admit Card)
2 Applicant's Name SUSHREE SWAGATIKA PANI

3 Personal Details   FEMALE   HINDU   03-Jun-2000   508082623647 8342029139

4.    Reservation Details
a. ST  No SC No OBC No SEBC No General Yes

PWD No ESM No SDP No CoM No

5. Weightage Details
a.   NCC   b.   NSS Camp

NCC B No NCC (CAMP/COURSE) No University Level No State Level No National Level No International Level No
 
c.   Rover & Ranger   d. Sports & Games

Rajya Puraskar(RP) No President Recognition(PR) No State No National No International No

6. Details of Mark Secured in +2 Council Examination

a. Stream  Arts
Mark secured in each subject in +2 Maximum Mark Total Mark Secured MIL English
b.
Council Examination  600  266  60  39
Have you secured above mark in your Yes
Annual CHSE(O) examination ?
Have you passed +2 Council Exam  No
c.  
Compartmentally / Instant?

7.   Option(s)/Choice(s) Details
Option College Stream Preference Subject Hostel Option
FIRST Indira Gandhi Women's (Degree) Mahavidyalaya, Nimapara Arts HONOURS EDUCATION NO
SECOND Indira Gandhi Women's (Degree) Mahavidyalaya, Nimapara Arts HONOURS POLITICAL SCIENCE NO
THIRD Surajamala Saha (Degree) College, Saradhabali Arts HONOURS EDUCATION NO
FOURTH Surajamala Saha (Degree) College, Saradhabali Arts HONOURS POLITICAL SCIENCE NO
FIFTH Shastri Smruti (Degree) Mahavidyalaya, Baliput Arts HONOURS HISTORY NO
SIXTH Shastri Smruti (Degree) Mahavidyalaya, Baliput Arts HONOURS EDUCATION NO
SEVENTH Shastri Smruti (Degree) Mahavidyalaya, Baliput Arts HONOURS POLITICAL SCIENCE NO