Meera College

Name (In capital letters)

Date

Time

Gender

Date of Birth

Contact Address

Phone

Community

Religion

Nationality

Name of Parent / Guardian

Educational Qualification

S.No	Class Last Studied	Name of the School	Year Passed	Mark Scored
1.	10th Std
2.	12th Std

Extra Curricular Activity

Courses

I agree the following Declaration

Declaration

The fees once paid at any circumstances not refundable.
I hereby declare that all informations provided in this form are true to my knowledge
If admitted, I will abide by the rules and regulation of the college.