JADAVPUR UNIVERSITY
 Faculty of Interdisciplinary Studies, Law & Management
Admission to Certificate Course on Zero Liquid Discharge (ZLD) Technologies: 2025
 
All the fields marked with asterisk ( * ) are mandatory.
Personal information
 Surname  First Name*  Middle Name
 Address in full
(i) Permanent address*		  Phone no.*
 (ii) Present address  Phone no.
 Gender*  Father's  Name*  Mother's Name*
 Name of the guardian  Guardian's Phone no.
 Relationship with the guardian Occupation of father/mother/guardian
Applicant's annual family income
 Date of birth*  Mother tongue  Nationality
 Place of birth  District*
 State
 E-mail*  Minority*  Physically disabled*
 Category* Registration No. of Graduation*  

Record of complete academic career starting from secondary or equivalent
Examination passed
Full Name of school/college*
Name of board/university*
Combination of Subjects*
Marks obtained*
Percentage of marks*
Division/Class*
Year of passing*
Secondary or equivalent*
Higher Secondary or equivalent*
B.E./ B.Sc. or equivalent*
M.Sc. or equivalent

Other information
Whether the applicant is a student of this university *  
 
Registration No.
Year
Department
Course of Study

Academic course being pursed at this time , the result of which has not yet been declared? *  

Name & address of the College/ Institution*
Name of University*
Name of the Course with Class/ Year*
Whether appeared/ due to appear*
When expected to be completed*

Whether the applicant is employed? *  


Particulars of Employment
Name & address of the Organization*
Designation of Candidate*
Date of joining*
Date of Leaving*
Name & Designation of the Person whose certificate will be submitted*

   
Copyright to:Jadavpur University 2025