Scribd
Upload
40 views

Application Form

The document contains an application form for admission to Sastra Deemed University. The form requests personal details of the applicant as well as family details. It also asks for education details and choice of program. Upon completion, signatures of applicant and parent/guardian are required with date.

Uploaded by

bhumiharshika2006
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
40 views

Application Form

The document contains an application form for admission to Sastra Deemed University. The form requests personal details of the applicant as well as family details. It also asks for education details and choice of program. Upon completion, signatures of applicant and parent/guardian are required with date.

Uploaded by

bhumiharshika2006
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

SASTRA DEEMED UNIVERSITY

Tirumalaisamudram 613401
Ph - 4362350011
[email protected]
Website - https://www.sastra.edu/

Applicant Details

Applicant Photo :
Name of the Applicant :
(As Per Certificate)
Date of Birth :
Gender :
Blood Group :
Mobile Number :
Personal Email Id :
Aadhaar Card Number :
Nationality/Country :
Religion :
Caste :
Community :
Persons with disability :
(PWD)
Single Parent :

Father's Details

Father's Name :
Mobile Number :
Email :
Father's Organization :
Type
Name of Organization :
Designation :
Annual Income :
Government :
Organization Type
Private Organization :
Type
Self Employee Type :

Mother's Details

Mother's Name :
Mobile Number :
Email Id :
Mother's Organization :
Type
Name of Organization :
Designation :
Annual Income :
Working :
Government Type :
Private Organization :
Type
Self Employee Type :

Guardian's Details

Name :
Mobile Number :
Email Id :
Name of Organization :
Designation :
Annual Income :
Relationship With :
Applicant

Guardian Permanent Address

House Number :
Address Line 1 :
Address Line 2 :
Pincode :
Country :
State :
District :
City :

Permanent Address

House Number :
Address Line 1 :
Address Line 2 :
Pincode :
Country :
State :
District :
City :
Mailing Address

House Number :
Address Line 1 :
Address Line 2 :
Pincode :
District :
City :

Choice of Branch

Degree :
Program :

Education Details

X Education Details Details


Name of School :
Board :
Year of Passing :
Total Marks :
Obtained
Max Marks :
Overall Percentage :
Obtained Grade :
Max Grade :
Obtained CGPA :
Max CGPA :
School Country :
School State :
School City :

XII Education Details Details


Name of School :
Board :
Year of Passing :
Stream :
Total Marks :
Obtained
Max Marks :
Overall Percentage :
Obtained CGPA :
Max CGPA :
School Country :
School State :
School District :
School City :

Applicant Signature Signature of the Parent/Guardian

Date:

You might also like