MAHILA COLLEGE, DALMIANAGAR
(A Constituent Unit of V.K.S.U., Ara)
COLLEGE LEAVING CERTIFICATE & CHARACTER CERTIFICATE
CLC & CHARACTER CERTIFICATE FORM
Apply for Certificate
Session
Part/Year
-SELECT-
CLC & CHARACTER CERTIFICATE
-Select Session-
2005-07 (INTERMEDIATE)
2005-08 (UG)
2006-08 (INTERMEDIATE)
2006-09 (UG)
2007-09 (INTERMEDIATE)
2007-10 (UG)
2008-10 (INTERMEDIATE)
2008-11 (UG)
2009-11 (INTERMEDIATE)
2009-12 (UG)
2010-12 (INTERMEDIATE)
2010-13 (UG)
2011-13 (INTERMEDIATE)
2011-14 (UG)
2012-14 (INTERMEDIATE)
2012-15 (UG)
2013-15 (INTERMEDIATE)
2013-16 (UG)
2014-16 (INTERMEDIATE)
2014-17 (UG)
2015-17 (INTERMEDIATE)
2015-18 (UG)
2016-18 (INTERMEDIATE)
2016-19 (UG)
2017-19 (INTERMEDIATE)
2017-20 (UG)
2018-20 (INTERMEDIATE)
2018-21 (UG)
2019-21 (INTERMEDIATE)
2019-22 (UG)
2020-22 (INTERMEDIATE)
2020-23 (UG)
2021-23 (INTERMEDIATE)
2021-24 (UG)
2022-24 (INTERMEDIATE)
2022-25 (UG)
2023-25 (INTERMEDIATE)
2023-27 (UG)
-Part/Year-
I
II
III
Class/Course ->
-Select Class-
B.A.
I.A.
Select Hons. Subject for Degree Students / Select Faculty For Intermediate Students ->
-Select Hons. / Faculty-
Student Name
Date of Birth
-Date-
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
-Month-
1
2
3
4
5
6
7
8
9
10
11
12
-Year-
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Class Roll No.
Gender
FEMALE
Father's Name
Mother's Name
Address (Vill / Mohalla)
P.O.
P.S.
Dist.
State
Pin Code
Adhar No.
Email Id
Mobile No.
Registration No.
Upload Documents
Student Passport Size Colour Photograph (Plain white or light green background)
(Image should be .jpg format only)
Dimensions of photographs should be 200 x 230 pixels (preferred).(1x1.5 inch);Size shouldbe between 20kb-50kb.
Student Sign/Signature
(Image should be .jpg format only)
Dimension of Sign-250px X 109px & Size- Upto 20 kb & Image Format - .JPG Only
Upload Your Current Year Admission Fee Receipt
(Image should be .jpg format only)
Dimensions of Current Year Admission Fee Receipt should be 400 x 450 pixels (preferred).Size should be between 50kb-100kb.
Upload Your Current Year Original Marksheet
(Image should be .jpg format only)
Dimensions of Current Year Marksheet should be 400 x 450 pixels (preferred).Size should be between 50kb-100kb.
Declaration by the Student:
I resident here by undertake that any information / document found fordge / false after fill up, form will be automatically rejected and i will have no right to claim for return of any fee from the college.
-Do you agree with declaration?-
YES