Vishweshwarayya Junior College, Latur

Student Registration Form

Academic Year: 2025-2026

Personal Details

First Name (Your Name)*

Middle Name (Fathers name)*

Last Name (Sur name)*

Date of Birth *

Gender *

Male

Female

Other

Blood Group

Mobile No *

Email ID *

Aadhaar Number *

Nationality

Religion

Address Details

Permanent Address *

Current Address same as Permanent Address

Current Address *

City *

State *

Pin Code *

Parent/Guardian Details

Father's Name *

Mother's Name *

Guardian Name (if applicable)

Parent/Guardian Contact *

Occupation

Annual Income

Academic Details

Last School Attended *

SSC Board *

Year of Passing *

10th Standard Percentage/CGPA *

Course Selection

Choose Course *

Document Upload

Upload 10th Marksheet * (PDF/Image, max 2MB)

Passport Size Photo * (JPG/PNG, max 1MB)

Aadhaar Card (PDF/Image, max 2MB)

Caste Certificate (if applicable) (PDF/Image, max 2MB)

Signature

Student Signature * (JPG/PNG, max 500KB)

Parent/Guardian Signature * (JPG/PNG, max 500KB)

Date *

Declaration

I hereby declare that the information provided is true to the best of my knowledge.