Application Form
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STUDENT ADMISSION FORM
Academic Year
2021-2022
Select Course
*
Select Course
PERSONAL DETAILS
Application Id
Student Full Name
*
Last Name
First Name
Middle Name
Gender
Male
Female
Transgender
Birth Place
Date of Birth
dd/mm/yyyy
Aadhar Card Number
Contact Number
*
Email Id
*
Mother Tongue
Region
Urban
Rural
SARAL Number
Religion
Hindu
Muslim
Sikhs
Christians
Parsi
Jain
Buddhists
Nonreligious
Other
Caste With Sub Caste
Category
OPEN
SEBC
OBC
DT/VJ (NT-A)
NT 1 (NT-B)
NT 2 (NT-C)
NT 3 (NT-D)
SBC
SC
ST
Other
Nationality
Indian
Abroad
Not Available
Permanent Address
With Pincode
Local Address
With Pincode
Same As Above
Admission Type
Institute Level
Other
PREVIOUS ACADEMIC DETAILS
Previous School / College Name and Address
Exam Month And Year
University / Board Name
Exam Seat No.
Exam Course Name
Previous School UDIES No.
Last Exam Name
Last Exam Percentage
Do not use % symbol here
Aggregate Total
Enter only numeric values
Exam Type
Annual
Semester
Other
Exam Medium
PARENT DETAILS
Father's Name
Father’s Occupation
Father’s Office Address
(With landmark for location)
Pincode
Mother's Name
Parent Contact Number
Parent Email
HOSTEL DETAILS
Hostel (Yes/No)
No
Yes
Guardian Contact Number
Local Guardian Address
FEE DETAILS
Fee Amount
PROFILE IMAGE
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