Online Admission Form for various courses at JCDV, Sirsa

COURSE DETAILS

College/Program Applying for*

Please click on this link for Admission Form for Pharmacy Courses

Main Course - Dental*

Main Course - Engineering College*

Main Course - IBM*

Apologies, but all BBA seats for the 2024-25 session have already been filled.

Interested in BBA International at Seneca College, Canada?*

Yes
No
Maybe

Main Course - Education College*

Main Course- PG College*

Sub Course - MDS

Sub Course - M.Tech

Sub Course - B.Tech

Sub Course - B.Tech (Lateral)

Sub Course*

Sub Course

STUDENT STATUS

New or Existing Student*

Fresh Admission
Existing Student

Semester Applying For*

PG Semester Applying For*

Last Semester Result*

Pass
Re-appear

University Roll No.

Marks (%age)*

Please enter a number from 0 to 100.

Number of Re-appear Subjects*

ACADEMIC DETAILS

Xth - Year of Passing*

Xth (CGPA/ Percentage)*

Please enter a number from 0 to 100.

Xth (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

XIIth - Year of Passing*

XIIth (Percentage)*

Please enter a number from 33 to 100.

XIIth (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

XIIth*

Appearing
Passed

XIIth - Year of Passing*

XIIth Aggregate (%)*

Please enter a number from 33 to 100.

XIIth (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

Graduation*

Appearing
Passed

Graduation - Year of Passing*

Graduation Aggregate (%)*

Please enter a number from 33 to 100.

Graduation (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

Graduation - Year of Passing*

Graduation Aggregate (%)*

Please enter a number from 33 to 100.

Graduation (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

B.Ed or Equivalent*

Appearing
Passed

B.Ed or Equivalent - Year of Passing*

B.ED or Equivalent (%)*

Please enter a number from 33 to 100.

B.Ed or Equivalent (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

Post Graduation

Appearing
Passed

Post Graduation - Year of Passing*

Post Graduation or Equivalent (%)*

Please enter a number from 33 to 100.

Post Graducation (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

B.Tech or Equivalent*

Appearing
Passed

B.Tech or Equivalent - Year of Passing*

B.Tech or Equivalent (%)*

Please enter a number from 33 to 100.

B.Tech or Equivalent (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

BDS*

Appearing
Passed

BDS (%)*

Please enter a number from 33 to 100.

BDS or Equivalent - Year of Passing*

BDS (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

Diploma*

Appearing
Passed

Diploma - Year of Passing*

Diploma (%)*

Please enter a number from 33 to 100.

Diploma (Scanned Copy)

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 2 MB.

file upload limit 2MB

XIIth PCM or Equivalent (%)*

Please enter a number from 33 to 100.

XIIth PCM/PCB or Equivalent (%)*

Please enter a number from 33 to 100.

XIIth PCB or Equivalent (%)*

Please enter a number from 33 to 100.

LAST SCHOOL/INSTITUTE INFORMATION

Last School / Institute Attended*

Name of School/College/Institute

Location*

City, Town or Village

State*

Name of State

Gap year if any?

Yes
No

Number of years of Gap*

Please enter a number from 0 to 10.

ENTRANCE EXAM DETAILS

Entrance Exam*

None
Appearing
Passed

Name of Entrance Exam*

Entrance Exam Score*

NEET Exam

Appearing
Passed

NEET Roll No.

NEET Score*

NEET (PG)*

Appearing
Passed

NEET(PG) Roll No.

NEET(PG) Score*

PERSONAL DETAILS

Name

First Middle Last

Photo*

Accepted file types: jpg, jpeg, gif, png, tiff, bmp, Max. file size: 2 MB.

Please upload your latest passport size pic. Size of the photo image must be less than 2MB.

Phone*

Email*

Date of Birth*

Gender*

Male
Female

Category*

Nationality*

Passport Number*

Aadhaar Card Number*

Aadhar Card (Front)

Accepted file types: jpg, jpeg, pdf, Max. file size: 2 MB.

Passport (Front)

Accepted file types: jpg, jpeg, pdf, Max. file size: 2 MB.

Aadhar Card (Back)

Accepted file types: jpg, jpeg, pdf, Max. file size: 2 MB.

Passport (Back)

Accepted file types: jpg, jpeg, pdf, Max. file size: 2 MB.

Is candidate having Haryana domicile?*

Yes
No

Whether EWS?*

Yes
No

Family ID

Religion*

ADDRESS

Permanent Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Correspondent Address*

Check if Correspondence Address and Permanent Address are the same.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PARENTS' INFORMATION

Father Name*

Father's Occupation

Father's Mobile No.*

Mother Name*

Mother's Occupation

Mother's Mobile No.

OTHER INFORMATION

Hostel Accommodation*

Do you need Hostel?

Yes
No

From where you came to know about JCDV?

Print Media
Internet

DECLARATION

Declaration by Student*

I declare

I solemnly declare and undertake that the information given by me in the admission form is correct and nothing has been concealed therein.

I further declare that :-

- I will abide by all the rules and instructions of the University and the Institute.
- I have not been disqualified by any Board/University. I am taking admission in the Institute provisionally at my own risk and responsibility and is subject to the confirmation of my eligibility by the university.
- If at any stage, I am declared ineligible, and my admission is cancelled by the university ab initio under the rules. I will have no claim for it.
- I shall abide by the rules of discipline and proper conduct, which may be framed in this regard. I fully understood the regulations and directions for banning ragging and affirm that I shall not indulge and involve myself in any act of ragging.
- I understood/agree that filling online admission form does not guarantee to confirm admission in the opted course

This field is hidden when viewing the form

DOCUMENTS CHECKLIST

APPLICATION FEE DETAILS

Registration Application Fee - Rs. 500*

Online Payment (Credit/Debit Card/Net Banking)
Offline
On the spot (at college)

Registration Application Fee - Rs. 1000*

Online Payment (Credit/Debit Card/Net Banking)
Offline
On the spot (at college)

Registration Application Fee - Rs. 250*

On the spot (at college)

Name of Bank*

Candidate should deposit Fee of Rs. 500 to the account of JCDV, Sirsa (Haryana). Acount Details: State Bank of India, Account No. 34764364842 IFSC Code: SBIN0010472

Receipt No.*

Receipt Date*
MM slash DD slash YYYY

Online Registration Fee Rs. 500*
Price:
You will be redirected to PayUmoney Website ( for online fee payment)

Online Registration Fee Rs. 1000*
Price:
You will be redirected to PayUmoney Website ( for online fee payment)

COURSE DETAILS

Please click on this link for Admission Form for Pharmacy Courses

STUDENT STATUS

ACADEMIC DETAILS

LAST SCHOOL/INSTITUTE INFORMATION

ENTRANCE EXAM DETAILS

PERSONAL DETAILS

ADDRESS

PARENTS' INFORMATION

OTHER INFORMATION

DECLARATION

DOCUMENTS CHECKLIST

APPLICATION FEE DETAILS

JCDV Online Admission Form

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