Reliance College Jr.

Application Form (For HS 1st Year Admission)

This form is applicable only to apply for admission at Reliance College Jr. Golaghat for the session, 2020-21. After due verification, a merit list of shortlisted candidates will be made available in our college website. Only the short listed candidates can take admission at Reliance College Jr. Golaghat.

To know about the Subject Combinations and Admission Fee & Monthly Fee Click On
~~Note:~~ HSLC Marksheet is required having file formet JPG, JPEG, PNG, or GIF for online form fill-up.

* Required Field

* Stream Applied For : Science Arts Commerce

* Name of the Candidate :

* Father’s Name :

* Mother’s Name :

* Father’s Occupation :

* Mother’s Occupation :

* Permanent Address :

* Village/Town/City :

* Post Office :

* Pin Code :

* District :

* State :

* Address for Correspondence/Hostel/Guardian Address :

* Village/Town/City :

* Post Office :

* Pin Code :

* District :

* State :

* 1st Contact No. :

2nd Contact No: (Father’s/Mother’s Contact No.)

E-Mail Address/ID :

* Date of Birth :

* Sex : Male Female

* Category :

* Religion :

* Board Appeared :

* School from which passed :

* Year of Passing :

* Name of 1st Subject Taken :	* Marks :

* Name of 2nd Subject Taken :	* Marks :

* Name of 3rd Subject Taken :	* Marks :

* Name of 4th Subject Taken :	* Marks :

* Name of 5th Subject Taken :	* Marks :

* Name of 6th Subject Taken :	* Marks :

* Total Marks Obtained :

* Percentage Obtained :

* Grade/Div :

* Enter Subject Names (Which are to be taken in HS Course) :

* 1st Subject

* 2nd Subject

* 3rd Subject

* 4th Subject

* 5th Subject

6th Subject

* Upload your H.S.L.C. Marksheet :