MPC BED

Common Application Form

Maharaja Purna Chandra (Autonomous) College, Baripada

If your +2 Education is in Science Stream or Diploma then you are eligible for applying both Arts & Science in this same Form (For this You have to check both Arts & Science Stream under Option / Choice Details Section), Otherwise you have to apply for only Arts Stream.

If you are eligible for applying more than one stream, kindly prepare one bank draft for this. For each stream you have to pay Rs 500/- otherwise your admission process will be cancelled.

Name of the Council from which you have passed the +2 exam, Year of Exam & Roll Number (as in admit card)

Name of the Examination Council *

Year of Passing *

Exam Type *

Annual

Supple/Inst

Select ExamType

Roll Number *

Applicant's Name *

Father's Name *

Mother's Name *

Personal Details

Blood Group

Gender *

Religion *

DOB *

Nationality *

Mother Tongue *

Aadhaar No.

Parent/Guardian Mobile No *

Permanent Address

State *

District *

Block / ULB *

House No.,Village,Post Office, Police Station *

PIN Code *

Mobile No. *

Email *

Record of educational institution last attended

Name of the School *

Location of the School *

District *

Year of Joining *

Year of Leaving *

Details of Mark Secured in +2 Council Examination

Stream *

Arts

Science

Diploma

Other

Select Stream

Please give your marks excluding additional subject
Maximum Mark	Total Mark Secured	English	MIL	Chemistry

Have you passed +2 Council Exam Compartmentally / Instant ? *

Yes

Select Exam

Option / Choice Details

Only one form will be submit for one Candidate. If your +2 Education is in Science Stream or Diploma then you are eligible for applying both Arts & Science in this same Form You can able to check multiple options

If you are eligible for applying more than one stream, kindly prepare one bank draft for this. For each stream you have to pay Rs 500/- otherwise your admission process will be cancelled.

Stream * For applying multiple Stream you can able to check more than once

Bank Draft Information

Note:- Please Kindly issue the demand draft as early as possible Rs- (For your choices ) in favourable of
"The Principal,MPC Autonomous College,Takatpur,Baripada" Payable at BARIPADA,then after fill the following form.

If you are eligible for applying more than one stream, kindly prepare one bank draft for this. For each stream you have to pay Rs 500/- otherwise your admission process will be cancelled.

If you have done your +2 Education in Science Stream then you are eligible for applying Arts & Science, Otherwise you have to apply for only Arts Stream

Bank Draft Number *

Bank Name *

Date

Amount *

Branch Name *

Bank Details

Account Number *

IFSC Number *

MICR Code

Bank Name *

Branch Name *

Part-2 : Document Upload

PHOTO * * file size should be in between 20kb and 200kb

SIGNATURE * * file size should be in between 20kb and 200kb

MATRIC CERTIFICATE * * file size should be in between 20kb and 200kb

+2 MARKSHEET * file size should be in between 20kb and 200kb

+2 CERTIFICATE * file size should be in between 20kb and 200kb

Bank Draft Photo * file size should be in between 20kb and 200kb

Declaration Details

I hereby declare that all the information given by me in this application is true and correct to the best of my knowledge and belief.

Select Declaration

kindly check your photograph and all other documents.

Candidate must be sent to their original bank draft & application form to college address, otherwise candidature should be cancelled.

Schedule Tribe (ST)	Schedule Caste (SC)	Other Backward Class (OBC)
Socially and Educationally Backward Class (SEBC)	General

University Level	State Level
National Level	International Level

Common Application Form

Common Application Form

Maharaja Purna Chandra (Autonomous) College, Baripada

Permanent Address

Reservation Details

Weightage Details

Record of educational institution last attended

Details of Mark Secured in +2 Council Examination

Option / Choice Details

Bank Draft Information

Bank Details

Part-2 : Document Upload

Declaration Details