ICSS College,Bhadrak

ICSS COLLEGE, BHADRAK

Applicant Information Continue Saved Registration * Indicate a Mandatory Field

Select Course *

Name of the Applicant *

Mother's Name*

Father's Name *

Aadhaar No. of Applicant *

Whatsapp No *

Govt Employee *

Email Id

Telephone/ Mobile No.

Date of Birth *

Gender*

Male Female

Marital Status *

Married Unmarried

Nationality *

Religion *

Present Address

Present Address *

Dist/City *

PIN *

Same as Present Address

Permanent Address

Permanent Address*

Dist/City *

PIN *

Details of Academic Qualifications
Examination / Degree	Name of Board / University	Name of the School / College	Year & Month of Passing	Maximum Marks	Total Marks Secured	% of Marks	Supporting Documents
Post Graduation
B.A.,LLB/LL.B.
BA/B.Sc/B. Com or Equivalent
+2 Arts / Sc./ Comm. or Equivalent *
H.S.C or Equivalent *

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Upload Caste Certificate (For SC/ST/OBC/SEBC only)

CLC

Migration Certificate

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Declaration

I do hereby declare that all the information and particulars furnished by me in this application are true and correct to the best of my knowledge and I shall abide by all rules and regulations framed by college from time to time and I am not a Govt. employee. I shall forfeit my candidature in case of fraud or misrepresentation of facts on my part.

Date: 29.04.2024

Signature of the Applicant *

UNDERTAKING BY THE APPLICANT

I do hereby undertake to maintain discipline and behave properly during my study as a student in ICSS Law College, failing which the college authorities shall have the right to take such action against me as may be deemed proper.