D.NO.

ST. JOSEPH’S COLLEGE (AUTONOMOUS) Affix

Tiruchirappalli-620 002 Passport
Size
STUDENT’S PROFILE FOR UG STUDENTS Photo
(TO BE FILLED IN CAPITAL LETTERS ONLY)
(Since 1844)

NAME
(As Per +2 Mark Sheet)
NAME OF THE FATHER
(As Per +2 Transfer Certificate)

NAME OF THE MOTHER

DATE OF BIRTH DD / MM / YYYY GENDER MALE / FEMALE

RELIGION IF ROMAN CATHOLIC YES / NO
COMMUNITY BC / BCM / DNC / MBC / OC / SC / ST / SCA
(TICK AS PER COMMUNITY CERTIFICATE)

SUB CASTE

FATHER’S OCCUPATION

EX-SERVICE MAN YES/ NO IF YES, SERVICE NO.

PHYSICALLY CHALLENGED YES/ NO IF YES, TYPE

STUDENT’S MOBILE STUDENT’S EMAIL

PARENT’S MOBILE PARENT’S EMAIL

SCHOOL/COLLEGE
LAST STUDIED
+2 PERMANENT
AADHAAR NO.
REG NO.
Door No. & Street
Area & Village
PERMANENT ADDRESS
Taluk
(Full Details with Pin Code)
District
State PIN CODE:

ENCLOSED:
Set-I Set-II: (XEROX IN A4 SIZE ONLY)
1. Filled Student’s Profile
2. +2 Transfer Certificate - One Copy
1. +2 Transfer Certificate - Original
3. Community Certificate - One copy
2. Community Certificate - Xerox one copy
4. +1 & +2 Mark Sheet - Downloaded Copy
5. Aadhaar Card- One copy

DATE:
STUDENT’S SIGNATURE