Sl. No.
LORETO COLLEGE
(Founded 1912)
7, MIDDLETON ROW, KOLKATA 700 071
B.A./B.SC.- HONS./GENERAL
APPLICATION FORM FOR ADMISSION 2012-2013
Form No. C
 
 
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Name of School last attended :
Board of Higher Secondary Examination :
Subject : Class X X Board Subjects : Class XI XI Finals Subjects : Class XII XII Board
Marks Obtained Out of Marks Obtained Out of Marks Obtained Out of
Best 4 subjects combination
Others
Attendance % (whole year)
Class X Class XI Class XII
Total marks obtained and aggregate for each class
Total /

Aggregate 		Total /

Aggregate 		Total /

Aggregate
Examination Year
Class X Class XI Class XII


Subjects : Class XII XII Board
Marks Obtained Out of
Choosen Honours / General
with
PLEASE ATTACH XEROX COPIES OF
Detailed School / College reports of Classes XI & XII
H.S. Admit Card & Mark Sheets of Secondary (X) & Higher Secondary (XII) attested by the Principal of your School
Proof of Date of Birth - Class X Board Admit Card / Pass Certificate (as applicable)
Verification of Mark Sheet of Bihar Board
Migration Certificates for all Boards other than W.B.H.S.E., C.B.S.E., I.S.C.&N.I.O.S.
_________________________
(Signature of Guardian)

Date: _________________________
_________________________
(Signature of Applicant)
PAYMENT FOR ONLINE APPLICATIONS
PLEASE FILL IN ALL THREE SECTIONS OF THIS PAYMENT SLIP CAREFULLY & PAY CASH TO THE STATE BANK OF INDIA, JEEVAN DEEP BRANCH BEFORE ATTACHING YOUR RECEIPTED COPY TO THE APPLICATION FORM & SUBMITTING THE SAME TO THE COLLEGE OFFICE BY THE SCHEDULED DATE.


Bank Copy
Please credit Loreto College, 7 middleton Row, Kolkata 700 071 (a/c no. 32338047993) with Rs.200/-[RUPEES TWO HUNDRED ONLY] received from for Application Form No. for Admission into B.A./B.Sc. - Hons/General 2012.





CASH RECEIVED



Signature & Bank Seal


........................................................................................................................................................
College Copy
Please credit Loreto College, 7 middleton Row, Kolkata 700 071 (a/c no. 32338047993) with Rs.200/-[RUPEES TWO HUNDRED ONLY] received from for Application Form No. for Admission into B.A./B.Sc. - Hons/General 2012.





CASH RECEIVED



Signature & Bank Seal


........................................................................................................................................................
To be submitted with the Application Form in Loretto College office by the applicant
Please credit Loreto College, 7 middleton Row, Kolkata 700 071 (a/c no. 32338047993) with Rs.200/-[RUPEES TWO HUNDRED ONLY] received from for Application Form No. for Admission into B.A./B.Sc. - Hons/General 2012.





CASH RECEIVED



Signature & Bank Seal


........................................................................................................................................................