Student Registration Form
| STUDENT DETAILS | |||
| NAME OF STUDENT | |||
| DATE OF BIRTH (IN FIGURES) | DATE OF BIRTH (IN WORDS) | ||
| AGE AT THE DATE OF ADMISSION | GENDER | ||
| CATEGORY | CASTE | ||
| RELIGION | MOTHER TONGUE | ||
| BLOOD GROUP (OPTIONAL) | AADHAR NUMBER | ||
| ENTER STATE OR UNION TERTIARY RECOGNIZED ID(1) |
ENTER STATE OR UNION TERTIARY RECOGNIZED ID (2) |
||
ADDRESS DETAILS
| PERMANENT | TEMPORARY | |
|---|---|---|
| WARD NO./VILLAGE | ||
| TOWNSHIP/CITY/GRAMPANCHAYAT | ||
| BLOCK | ||
| DISTRICT | ||
| STATE | ||
| PIN CODE |
GUARDIAN DETAILS
| GUARDIAN NAME | |||
| RELATIONSHIP WITH STUDENT | MOBILE NO. (OPTIONAL) | ||
| PERMANENT | TEMPORARY | |
|---|---|---|
| WARD NO./VILLAGE | ||
| TOWNSHIP/CITY/GRAMPANCHAYAT | ||
| BLOCK | ||
| DISTRICT | ||
| STATE | ||
| PIN CODE |
| FATHER'S NAME | MOBILE NO. (OPTIONAL) | ||
| MOTHER'S NAME | MOBILE NO. (OPTIONAL) |
ADDRESS OF STUDENT (IF 18 YRS. OLD)
| PERMANENT | TEMPORARY | |
|---|---|---|
| WARD NO./VILLAGE | ||
| TOWNSHIP/CITY/GRAMPANCHAYAT | ||
| BLOCK | ||
| DISTRICT | ||
| STATE | ||
| PIN CODE |
CONTACT DETAILS
| MOBILE NO. (OPTIONAL) | EMAIL (OPTIONAL) |
BANK DETAILS (OPTIONAL)
| BANK NAME | A/C NO. | ||
| IFSC | |||
ACADEMIC DETAILS
| STUDY LANGUAGE | TAHSEEL | ||
| CLASS/YEAR/SEMESTER | FACULTY | ||
| SUBJECTS | ADDITIONAL SUBJECT |
PREVIOUS INSTITUTION DETAIL
| INSTITUTION NAME | |||
| UDISE CODE | SCHOLAR NO. | ||
| CLASS/YEAR/SEMESTER | FACULTY | ||
| SUBJECTS | ADDITIONAL SUBJECT | ||
| LEAVING DATE | |||
DETAILS OF CLASS & FACULTY
STUDENT ELIGIBILITY TO STUDY AT THE TIME OF ADMISSION IN THIS INSTITUTE
STUDENT ELIGIBILITY TO STUDY AT THE TIME OF ADMISSION IN THIS INSTITUTE
| CLASS/FACULTY | COMPULSORY SUBJECT | OPTIONAL SUBJECT | ADDITIONAL SUBJECT |
|---|---|---|---|
FOR OFFICE USE ONLY
ALLOTMENT (IF CLASS & SECTION NOT LISTED GO TO ADD CLASS & SECTION)
| ADMISSION NO. | SCHOLAR NO. | ||
| SELECT FACULTY | SELECT CLASS/YEAR/SEMESTER | ||
| SELECT SECTION | DATE |
एक टिप्पणी भेजें