SH24 Gaya-Patna Main Road,Hulasganj,Jehanabad, Bihar - 804407
Phone: +91 911 011 7517
Website : www.lkpbedcollege.in | Email : ask@lkpbedcollege.in

APPLICATION FORM

(To Be Filled in Block Letters)

S.NO._______________

BATCH 2019-21

FOR OFFICE USE ONLY

Enrollment No...........................................................
Fee Paid Rs...................................
Receipt No...................................................................
Date.................................................


1.Personal Details

2. Academic Record

Exam. Passed Board / University School / College / Institute (With Location) Degree / Specializations Year Of Passing Marks % / CGPA Medium Of Education
10th
12th
Graduation
Any Other Specify

3. Entrance Examinations

Name of Entrance Examination Exam Registration No. Exam Month & Year Score Percentile

4. References of two persons who know you well [Relatives/College Professors/Work Supervisors]

Name Relatives/Professors/Supervisors Address Phone Email ID

5. Why do you want to Join LKP College ? (3 Points)

1.
2.
3.
6. Do you Require Hostel Accommodation ?