Chitransh Common Application Form
CHITRANSH A. D. P. G. COLLEGE
AFFILIATED TO BARKATULLAH UNIVERSITY, BHOPAL

Note : The Application Form and Prospectus will be issued only in the nameof the applicant. The Form is nottransferable. Please fill in with your own handwriting. May attach any additional inputs, but no original copies ofcertificates or mark sheets.

Choose your Course:
Choose your specialization for:
B. Com (Choose your specialization)
BSC (MICRO - BIO, BIOTECH, CBZ, PCM, CS)
MSC (MICRO - BIO, BIOTECH, CHEMISTRY, BOTANY, ZOOLOGY)
Name of Applicant:
Gender:
Date of Birth:
Category:
Father's Name:
Mother's Name:
Father's Occupation:
Mother's Occupation :
Father's / Mother's Mob. No. :
Family Annual Income (Rs.) :
Local Address :
City :
State :
Pincode :
Mobile Number :
Email ID :
Permanent Address :
City :
State :
Pincode :
Qualifying Exam :
Sr. No. Exam Name Board/University Year Percent Subjects
1 Matriculation *
2 Intermediate
3 Graduation
4 Entrance Exam
Declaration by Student/Parent/Guardian
Self/on behalf of my ward hereby declare that:
  • • The information given by me in the application form and all enclosures are true to the best of my knowledge. However, should it, be found that any information/ enclosures there in are untrue/wrong I am/my ward liable to be disqualified for admission.
  • • If I am/my ward selected for admission I am/my promise to abide by the rules ®ulations of theInstitute/University and maintain the discipline in the institute and the hostel.
  • • Any dispute is subject to Barkatullah University, BhopalJurisdiction.
Why you want to take admission at CHITRANSH A.D. P.G. COLLEGE?
I hereby declare that the information furnished above is true and correct. The Chitransh Amulya Dutta Post Graduate College will not be held responsible forany issues, arising on account of this information being false or incorrect.

Address : E- 7/649 BEHIND CENTRAL BANK OF INDIA ARERA COLONY, BHOPAL, MADHYA PRADESH, INDIA 462039
www.chitranshcollege.com | E-Mail : admission@chitranshbhopal.com | Ph. +91 7470529077/7414079086