Online Procedure

ONLINE PROCEDURE

To automate and to make it convenient for the end-users, it is really vital to make admission and selection processes online. That being said, you can apply online by filling out the form here.

APPLICATION FORM

Programme to which admission is sought :

Student Information

1. Full name : *

2. Permanent address : *

City/State: *

Pincode: *

3. Tel No:

Mobile : *

Profile Pic

Signature

4. Email : 5. Gender : * Male Female

6. Date Of Birth : * (dd/mm/yyyy)

7. Age: years Months

8. Category: * SC ST OBC GENERAL 9. Mother Tounge: 10. Blood Group

11. Father's Name *

12. Mother's Name *

13. Academic Qualification

Examination passed	school/college	Board/University	subject	year	result	Document upload
secondary
sr secondary
graduation
Any other qualification

14. Work Experience (If Any)

S.N	Name of company	Full time/Part Time	Designation	period of employement

15. Attachment Adhar Card File : *

Supported Format: PDF,DOC,DOCX

I certify that all information provided by me in this form is correct to be best of my knowledge. I understand that willful suppression/misrepresentation of facts will result in my dismissal from the program. I will abide by all rules and regulations.

Date: 31 Jan, 2025

Reference By: *

Pay Using The Following QR Code

***We wish you all the best & welcome you in JCRC family***

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