SXC- DIPLOMA COURSE APPLICATION FORM 2024-2025

ST. XAVIER'S COLLEGE

[AUTONOMOUS]

30, MOTHER TERESA SARANI, KOLKATA - 700 016

COMPUTER CENTRE AND CENTRAL COMPUTING FACILITIES

Printing facility is required while filling up this online form.

The Course fee is Rs. 4800/- to be paid within the last date through online method.

All fields marked with * are compulsory

After submitting the form by clicking "Submit" your application code will be displayed. Make a note of this application code.

Proceed to the payment of fees. The fees can be paid online using debit card, credit card or net banking.

After payment of the fees, Login to your application to get Provisional Admission Sheet.

Take a printout of this sheet.

Mail the Admission Sheet to computer.centre@sxccal.edu after completing the same.

You need not submit any documents to the College.

Bring the Provisional Admission sheet and other documents on the day of commencement of classes.

Please enter Name exactly as in the marksheet.

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

APPLICATION FOR ADMISSION TO WEB DESIGNING AND PROGRAMMING : ADVANCED HTML WITH CSS, JAVASCRIPT AND PHP COURSE, SESSION : 2024-2025

Name : *

II.

Gender : *

Male Female Transgender

III.

D.O.B *

IV.

Religion *

Roman Catholic Christian Hindu Islam Sikh Jain Buddhist Other

Community *

General Scheduled Caste Scheduled Tribe Other Backward Class

VI.

Differently Abled

Physically Handicapped/Challenged Disability (%)

VII.

Blood Group *

VIII.	Personal Details	1.	Address : (Permanent) *	Country : *
			State : *	City / District : *
			Pincode : *
			Student's Mobile : *	Student's E-mail : *
		2.	Parent's / Guardian's Name : *	Parent's / Guardian's Mobile :
		3.	Family Income (per month) : *
		4.	Nationality : *
		5.	Aadhaar No :
		6.	Employment Details : (if applicable)	Duration of Service:

IX.

Academic Details *

Select Highest Qualification : *

Select College / Institution : *

Photo & Signature *

Upload your Current Photo (JPEG)
Image must be within 100 KB in size.

Upload your Signature (JPEG)
Image must be within 40 KB in size.

XI.

Aadhaar Card *

Upload Aadhaar Card in a single PDF
pdf must be within 1000 KB in size.

XII.

DOB Proof *

Upload DOB Proof in a single PDF
pdf must be within 1000 KB in size.

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