KHA MANIPUR COLLEGE, KAKCHING
Kakching Panjao Pallum, Thoubal District, Manipur-795103
Student's Details
Full Name *
Father/Guardian Name *
Mother Name *
Religion
Caste
UR
OBC
ST
SC
Nationality
Gender
Male
Female
Others
Date of Birth *
Address Details
Permanent Address *
Post Office *
PS *
District *
Present Address in Kakching
Mobile No (if any)
Details Of Examination Passed
Examination Passed
Board/ Council/ University
Roll No.
Pass Year
Division
Name Of Institute
Subject Offer
XII - Passed
Subject Combination
Year *
--Select--
Stream *
--Select--
Passed Year *
Subject *
--Select--
Admission Amount (in Rs)
Other Required Information
Are you willing to join N.C.C./N.S.S./YOGA
Yes
No
Are you willing to Stay in Hostels
Yes
No
Whether interested in Games & Sports and any other cultural activities, if so, state
Any other information :
I promise to use College Uniform, abide by the Rules and Regulations of the college.
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