RAMANANDA COLLEGE
BISHNUPUR
,
BANKURA
Phone No. :
03244-252059
Application Form for Admission to Bachelor of Physical Education Session 2019-2021
Name :
Father's Name :
Mother's Name :
Guardian Name :
Relation with Guardian :
Date of Birth :
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01(Jan)
02(Feb)
03(Mar)
04(Apr)
05(May)
06(Jun)
07(Jul)
08(Aug)
09(Sep)
10(Oct)
11(Nov)
12(Dec)
Year
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Gender :
Male
Female
Category :
UR
SC
ST
OBC A
OBC B
Religion :
Hindu
Islam
Christian
Other
Nationality :
Indian
Other
Mailing Address(Postal):
Permanent Address :
Mobile No. :
Email Id :
Personal Measurement (Height) :
Weight :
Wheather capable of undergoing strenuous physical activity :
Yes
No
Wheather suffering from any chronic disease/ailments/injury/anu major operation done within last three years
Academic Qualification
Name of Examination
Board/University
Subjects Taken
Year of Passing
%of Marks
Division/Class
%of best of 5 in HS
BA/B.Sc/B.Com Hons/Gen
Higher Secondary
Secondary(Madhyamik Pariksha)
Last Institution:
Course of Study indicating Session:
Year of Leaving:
State wheather migrated from another University:
Yes
No
If yes Name of the University:
Number & Dateof letter sanctioning migration:
Registration No of the other University:
Registration No of the University of Burdwan,if any:
Option for major game for practical test:
Maximum Photo Size 30KB