Chaitanya Science and Arts College, Pamgarh, Janjgir, Champa

Student Admission Form

Personal Details

Full Name*

Date of Birth*

Gender*

Email Address*

Phone Number*

Nationality*

Category*

Address Details

Permanent Address*

Correspondence Address

City*

State*

PIN Code*

Academic Background

Last Qualification*

Board/University Name*

Year of Passing (YYYY)*

Percentage / CGPA*

Parent/Guardian Details

Father's Name*

Mother's Name*

Guardian's Name (Optional)

Parent/Guardian Contact Number*

Course Details

Course Applying For*

Admission Session (e.g. 2024-25)*

Document Uploads

Passport-size Photo

Marksheet / Academic Transcript

ID Proof (Aadhaar, PAN, etc.)