Percentage: .............. Division/Grade: .................Total Marks Obtained: ...........................

NAME OF THE SUBJECT

1..................................

2..................................

3..................................

4..................................

MARKS OBTAINED

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

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

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

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

NAME OF THE SUBJECT

5..................................

6..................................

7..................................

8..................................

MARKS OBTAINED

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

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

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

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

Note: 1) Kindly read the Prospectus before filling this form.2) Incomplete forms will be rejected.3) All Christian Students will submit a letter from their Parish Priest / Pastor along with other documents.

PERSONAL RECORDName of the Applicant: ( )

Sex: ¨Male ¨Female Date of Birth: ............................................................

Nationality: ¨Indian ¨Other Religion: ¨Hindu ¨Muslim ¨Christian ¨Catholic (R.C.) Other-Specify ............

Category: ¨General ¨SC ¨ST ¨OBC-I ¨OBC-II ¨Other

Mother Tongue: ................................................ Mobile No. of the Applicant: ........................................................................

As recorded in Matric Certificate - in BLOCK letters) .......................................................................................

ST. XAVIER’S COLLEGE OF MANAGEMENT & TECHNOLOGYDigha - Aashiyaana Road

Mobile: 8987262019, 8877617734E-mail: sxcpatna@gmail.com | Website: www.xaviercollegepatna.org

, Digha Ghat, Patna-800 011

ACADEMIC RECORD(Minimum 45% required in +2/Intermediate for admission)

A) Year of Passing Matric Exam: .................. Total Marks: ............. Marks Obtained: .............. Percentage: ................

Name of School: ..............................................................................................................................................................

Name of Board: ¨B.S.E.B. ¨C.B.S.E. ¨I.C.S.E. ¨N.I.O.S. ¨Other (specify): ..........................................

B) Year of Passing +2/Intermediate Exam: ........................

Name of School/College: ................................................................................................................................................

Name of Board: ¨B.S.E.B. ¨C.B.S.E. ¨I.C.S.E. ¨N.I.O.S. ¨Other (specify): ..........................................

Name of the Father: .............................................................

Mobile: ..................................................................................

E-mail:...................................................................................Professional Record: ¨Employed ¨Unemployed

¨Govt. Employee [Central/State]:

Department/Office ................................... Designation ................................

¨Private Service:

Company/Institution................................ . Designation ...............................

¨Independent Profession:

¨Doctor ¨Lawyer ¨Engg./Mgmt. Consultancy ¨Other

¨Entrepreneur/Businessman:

Type of Business:...................................................................

Name of the Guardian (If the student is not staying with the parents):

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

Mobile: ..................

E-mail:...................................................................................

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

Professional Record: ¨Employed ¨Unemployed

¨Govt. Employee [Central/State]:

Department/Office ................................... Designation ................................

¨Private Service:

Company/Institution................................ Designation .................................

¨Independent Profession:

¨Doctor ¨Lawyer ¨Engg./Mgmt. Consultancy ¨Other

¨Entrepreneur/Businessman:

Type of Business:...................................................................

PHOTO

Form No.

Reg. No.:

I have studied the College Prospectus and promise to abide by all the rules and regulations of the College.

Date: .................... Signature of the Parent/Guardian: ............................ Signature of the Applicant: ...........................

Digha - Aashiyaana Road, Digha Ghat, Patna-800 011Mobile: 8987262019, 8877617734

E-mail: sxcpatna@gmail.com | Website: www.xaviercollegepatna.org

Name: ..........Form Submission Date: .................................. Received by: ........................................................................

.................................................................................. Year: ................... Form No.: ................

1. Produce this receipt for all the future enquiries.2. Admission list will be put up on the College Notice Board. Also, it will be uploaded on to the College website.

Permanent Address: ...........................................................................................................................................................................................................................................................................Local Address: (If different).................................................................................................................................................................................................................................................................Telephone (Home): ....................................................................

Monthly Income of the Family:

Name of the Mother: ...........................................................

Mobile: ..................................................................................

E-mail:...................................................................................Professional Record: ¨Employed ¨Unemployed

¨Govt. Employee [Central/State]:

Department/Office ................................... Designation .......................................

¨Private Service:

Company/Institution................................. Designation .......................................

¨Independent Profession:

¨Doctor ¨Lawyer ¨Engg./Mgmt. Consultancy ¨Other

¨Entrepreneur/Businessman:

Type of Business:...................................................................

¨Upto Rs.10,000 ¨Rs. 10,000 - Rs. 25,000 ¨Above Rs. 25,000

ST. XAVIER’S COLLEGE OF MANAGEMENT & TECHNOLOGY

FOR BBE BMC (Professional)B. Com BBA BCA

APPLICATION FORM

SUBJECT1. .................................2. .................................3. .................................4. .................................5. .................................6. .................................7. .................................

MARKS .............................................................................................................................................................................................

Total: ...........................

%age: .............. Div./Grade: .................

Note: 1) Kindly read the Prospectus before filling this form.2) Incomplete forms will be rejected.3) All Christian Students will submit a letter from their Parish Priest / Pastor along with other documents.

PERSONAL RECORDName of the Applicant: ( )

Sex: ¨Male ¨Female Date of Birth: ............................................................

Nationality: ¨Indian ¨Other Religion: ¨Hindu ¨Muslim ¨Christian ¨Catholic (R.C.) Other-Specify ............

Category: ¨General ¨SC ¨ST ¨OBC-I ¨OBC-II ¨Other

Mother Tongue: ................................................ Mobile No. of the Applicant: ........................................................................

As recorded in Matric Certificate - in BLOCK letters) .......................................................................................

ST. XAVIER’S COLLEGEDigha - Aashiyaana Road

Mobile: 8987262019, 8877617734E-mail: sxcpatna@gmail.com | Website: www.xaviercollegepatna.org

, Digha Ghat, Patna-800 011

A) Year of Passing Matric Exam: .................. Total Marks: ............. Marks Obtained: .............. Percentage: ................

Name of School: ..............................................................................................................................................................

Name of Board: ¨B.S.E.B. ¨C.B.S.E. ¨I.C.S.E. ¨N.I.O.S. ¨Other (specify): ..........................................

B) Year of Passing +2/Intermediate Exam: ........................

Name of School/College: ................................................................................................................................................

Name of Board: ¨B.S.E.B. ¨C.B.S.E. ¨I.C.S.E. ¨N.I.O.S. ¨Other (specify): ..........................................

PHOTO

Form No.

Reg. No.:

I have studied the College Prospectus and promise to abide by all the rules and regulations of the College.

Date: .................... Signature of the Parent/Guardian: ............................ Signature of the Applicant: ...........................

ST. XAVIER’S COLLEGEDigha - Aashiyaana Road, Digha Ghat, Patna-800 011

Mobile: 8987262019, 8877617734 E-mail: sxcpatna@gmail.com | Website: www.xaviercollegepatna.org

Name: ..........Form Submission Date: .................................. Received by: ........................................................................

.................................................................................. Year: ................... Form No.: ................

1. Produce this receipt for all the future enquiries.2. Admission list will be put up on the College Notice Board. Also, it will be uploaded on to the College website.

Name of the Father: .............................................................

Mobile: ..................................................................................

E-mail:...................................................................................Professional Record: ¨Employed ¨Unemployed

¨Govt. Employee [Central/State]:

Department/Office ................................... Designation ................................

¨Private Service:

Company/Institution................................ Designation .................................

¨Independent Profession:

¨Doctor ¨Lawyer ¨Engg./Mgmt. Consultancy ¨Other

¨Entrepreneur/Businessman:

Type of Business:...................................................................

Name of the Guardian (If the student is not staying with the parents):

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

Mobile: ..................

E-mail:...................................................................................

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

Professional Record: ¨Employed ¨Unemployed

¨Govt. Employee [Central/State]:

Department/Office ................................... Designation ................................

¨Private Service:

Company/Institution................................ Designation .................................

¨Independent Profession:

¨Doctor ¨Lawyer ¨Engg./Mgmt. Consultancy ¨Other

¨Entrepreneur/Businessman:

Type of Business:...................................................................

Permanent Address: ...........................................................................................................................................................................................................................................................................Local Address: (If different).................................................................................................................................................................................................................................................................Telephone (Home): ....................................................................

Monthly Income of the Family:

Name of the Mother: ...........................................................

Mobile: ..................................................................................

E-mail:...................................................................................

Professional Record: ¨Employed ¨Unemployed

¨Govt. Employee [Central/State]:

Department/Office ................................... Designation .......................................

¨Private Service:

Company/Institution................................ Designation ........................................

¨Independent Profession:

¨Doctor ¨Lawyer ¨Engg./Mgmt. Consultancy ¨Other

¨Entrepreneur/Businessman:

Type of Business:...................................................................

¨Upto Rs.10,000 ¨Rs. 10,000 - Rs. 25,000 ¨Above Rs. 25,000

ACADEMIC RECORD(Minimum 45% required in +2/Intermediate for admission)

For B.A. B.Com. (Hons.)¨ ¨

SUBJECT PROPOSED

A. Honours and Subsidiary Papers for Part I, II and III as given in the prospectus.

B. Composition: Hindi & English (50 Marks each)

B.Com. (Hons.)

Honours - English, Subsidiary - Pol. Science, SociologyComposition - Hindi & English (50 Marks each)

B.A.

APPLICATION FORM