SXC- CERTIFICATE COURSE APPLICATION FORM 2024-2025

Class XII Details

Last School Attended : *

Board / Council : *

City/Town/District : *

Stream (XII) : *

Year of Passing: *

ST. XAVIER'S COLLEGE

[AUTONOMOUS]

30, MOTHER TERESA SARANI, KOLKATA - 700 016

DEPARTMENT OF POLITICAL SCIENCE

Printing facility is required while filling up this online form.

The cost of the application form (Rs. 200/-) along with 1^st Installment of course fee to be paid through Online method.

All fields marked with * are compulsory

Before filling up the Application form, kindly read the admission procedure given in the website with care.

After making online payment take a printout of payment receipt and use login link for taking printout of admission form generated through website.

Laminated Mark Sheet / Certificate will not be accepted at the time of admission.

Please enter Name exactly as in the marksheet.

Please enter correct address, phone, mobile, e-mail etc. with care.

APPLICATION FOR ADMISSION TO CERTIFICATE COURSE IN HUMAN RIGHTS AND SOCIAL WELFARE (7 MONTHS), SESSION : 2024-2025

Name : *

II.

Gender : *

Male Female Transgender

III.

D.O.B *

IV.

Religion *

Roman Catholic Christian(XT) Hindu Islam Sikh Jain Buddhist Other

Community *

General (GEN) Scheduled Caste (SC) Scheduled Tribe (ST) Other Backward Class (OBC)

VI.

Differently Abled

Physically Handicapped/Challenged (PH) Disability (%)

VII.	Personal Details	1.	Address : (Permanent) *	Country : *
			State : *	City / District : *
			Pincode : *
			Mobile : *	E-mail : *
		2.	Parents's / Guardian's Name : *	Parents's / Guardian's Mobile :
		3.	Family Income (per month) : *
		4.	Nationality : *		Aadhaar Number:
		5.	Blood Group :
		6.	Employment Details :	Duration of Service:

VIII.

Academic Details *

Select Highest Qualification : *

	University / Board	Year	Score Type	Marks Obtained	Full Marks
P.G. Details : *


	University / Board	Score Type	Marks Obtained	Full Marks
Graduation Details *

Class XII Marks:

Aggregate is calculated with best 4 subjects at +2 level, including the compulsory subjects as indicated. The following subjects must not be included in the best 4 subjects.

Agriculture	Entrepreneurship	Fashion Designing	Music
Atrs / Fine Arts	Enviornmental Education	Fashion Studies	Physical Education
Dance	Enviornmental Science	Heritage Craft	SUPW

Subject

Marks Obtained

Full Marks

Class XII Total:

Are you currently studying at St. Xavier's College : *

Yes No

IX.

Photo & Masksheets *

Upload your Current Color Photo (JPEG)
Image must be within 100 KB in size (35mm x 45mm).

Upload your Signature (JPEG)
Image must be within 80 KB in size.

Upload your Masksheets (PDF) Class XII onwards
Yearwise/Semesterwise/Consolidated marksheets along with backlog cleared marksheets(if any)
Create one combined PDF file for all the mark-sheets ( 2 MB Max i.e.150 KB per Marksheet)

Declaration
I declare that I have read the course details throughly as given on the College Website. I also declare that information provided in this application form is true and I have not concealed any information that is asked for. St. Xavier's College [Autonomous], Kolkata reserves the right to reject the candidature even if the form is submitted and accepted online.
I Agree