अक्षयवट महाविद्यालय महुआ, वैशाली

(बीo आरo एo बिहार विश्वविद्यालय मुजफ्फरपुर की संबद्ध इकाई)

Application for Character / College Leaving Certificate Or T.C.


Student Information :


Apply for NEW / DUPLICATE CLC
Name of Applicant :
Father's Name :
Mother's Name :
Gender :
Faculty :
Class :
Class Roll-NO.:
Session :
Subject Taken :
Honours subject taken :
Date of Birth :
Mobile No. :
Email :

Address Details :


Postal Address :
City/Village :
Pin Code :
State :
Nationality :

Details of the last passing Examination......


Year of Admission :
Year of Passing Board/University Exam :
Name of Exam :
Examination Roll No. :
Registration No. :
Division :

Photo & Sign :


Upload Photo:
(50kb to 250kb)
Upload Signature:
(50kb to 250kb)
    I do hereby declare that the information given by me as mensioned in this form are correct to my knowledge and declare that i will abide by the rules and regulation of the college. If any information is found false either before or after admission, my claim will be ipso facto rejected.