ST.

XAVIER'S COLLEGE, RANCHI

(Affiliated To Ranchi University, Ranchi)
UNDERGRADUATE APPLICATION FORM -2023

*23NSZOO00302* REGISTRATION NO JL1586896531

Primary Details For Office Use Only (Do not write any thing)
Application Form No NSZOO23-27/96531/00302 Category ST
Code No 00302 Board OTHERS
Four Year Undergraduate NEP NATURAL SCIENCE-ZOOLOGY
Name ABHISHEK BESRA Challan Id:
Programme Undergraduate
Challan Amount :
Course B.Sc.(Hons.)-Zoology
Applied Date & Time Tuesday, June 20, 2023 9:16 PM Alloted Roll No :

Required Documents at the time of Admission

1. Original 10th Certificate showing Name, Fathers name and DOB.
23NSZOO00302
2. College/School Leaving Certificate & Migration Certificate (Original).
3. Character Certificate (Original).
4. Marks Sheet (Xerox 2 copies).
5. Admit Card (Xerox 1 copy).
6. Medical Certificate of fitness. (OPTIONAL)
7. Recent Color Photographs (2 stamp size and 2 passport size).
9. Income Certificate (Xerox) For ST/SC/BC-I/BC-II
8. Caste Certificate (Xerox) For ST/SC/BC-I/BC-II.
10. Anti Ragging Declaration.
11 Aadhaar Card (Xerox 1 copy).
Bring your all original documents for verifications.

Payment Details
Transaction Ref. No Payment Date Amount
YSBI1955907769 20/06/2023 ₹1000.00

Personal Details
Name in Hindi: अभिषेक बेसरा Father's SHASHI BESRA Mother's Name: SEEMA BESRA
Name:
DOB : 11/03/2006 Gender: MALE Religion: CHRISTIAN
Sub Category: NONE Mobile No: 9771990988 Email Id: abhishekbesra03@email.c
om
Divyang : NO Details : NA Conveyance: NO
Address: HURHURU PATRATU HAZARIBAGH
District : HAZARIBAG State: JHARKHAND Pin Code: 825301

Educational Details
Qualification Year Board Sch/Col Name Division Marks Obt Percentage
INTERMEDIATE SCIENCE 2023 OTHER kr high school bettiah 2ND 272 54.40
S
Subject Wise Marks Details
Subjects Full Marks Obtained Marks
BIOLOGY 100 54
PHYSICS 100 41
CHEMISTRY 100 48
HINDI 100 64
ENGLISH 100 65
 ST. XAVIER'S COLLEGE, RANCHI
(Affiliated To Ranchi University, Ranchi)
UNDERGRADUATE APPLICATION FORM -2023

*23NSZOO00302* REGISTRATION NO JL1586896531

Other's Detail
Identification Marks MOLE ON NOSE Aadhaar No 855740135387 Locality URBAN
Parents/Guardian Contact No 7209900670 Parents Email abhishekbesra03@email.com
Parents/Guardian Occupation OTHERS
Income Status LOW INCOME GROUP Annual Income Below 1 Lac p.a. Hobbies CYCLING

IRC-1/GE-I Geology IRC-II/GE-II Botany AECC/CC-I English

Communication

CUET Exam No CUET Score 0.00 Session 23-27

Declaration
1. I hereby agree to abide by the rules of the College.
2. Admission to the Academic Programmes for session 2023-24 shall be wholly provisional.
3. Final admission shall be given only after the complete verification of necessary documents proving the
fulfillment of ALL eligibility criteria.
4. I understand that my selection will be provisional and if at any stage it is discovered that I have provide false
information, my admission shall stand cancelled.  
5. I am aware of the Rules and Laws regarding ragging. Ragging is strictly prohibited.
6. I am ready to accept the college policy on leave/college functions/eductional activities.
7. 100% Attendance COMPULSORY in all the classes offered..
8. I declare that I will abide all Rules and Regulations of the College and accept the decision of the Principal in all matters
as final.
9. Allotment of IRC choice for UG Arts is subject to availability of seats in concerned department.

All the detail information provided by me in the application form are true to the best of my knowledge. In case of any
wrong information, I shall be held responsible and college may take appropriate action.