Sree Vidyanikethan Degree College

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Application Form

Enquiry Number

Enquiry number should be a number

First Name*

Middle Name

Only characters are allowed

Last Name*

Full Name (As per certificates)*

Application Submitted Date*

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Application Submitted Date is mandatory

Student Photograph

Physical Application Number

Is Local*

Yes

University Region*

select

University is mandatory

Admission Category*

select

Admission Category is mandatory

Admission Mode*

select

Admission Mode is mandatory

Degree*

select

Degree is mandatory

Program*

select

Program is mandatory

Entrance Exam Details

Entrance Exam	IsRank	Hall Ticket Number	Marks Scored	Rank/Percentile	Rank Or Percentile
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Personal Details

Date of Birth*

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Date of Birth is mandatory

Birth Certificate

Gender*

select

Gender is mandatory

Blood Group

select

Nationality*

select

Nationality is mandatory

Religion*

select

Religion is mandatory

Residence Category*

select

Residence Category is mandatory

Marital Status*

select

Marital Status is mandatory

Student Mobile Number

Student Email Id

Invalid Email Address

WhatsApp Mobile Number

Official Email Id

Invalid Email Address

Family Annual Income*

Income Certificate

Caste Category*

select

Caste Category is mandatory

Caste Certificate

Caste*

Home Telephone

Identification Mark 1

Identification Mark 2

Are you physically challenged?*

Yes

Parent's Details

Father's Name*

Mother's Name*

Father's Photograph

Mother's Photograph

Father's Occupation*

select

Father's Occupation is mandatory

Mother's Occupation*

select

Mother's Occupation is mandatory

Father's Education Level*

select

Father's Education Level is mandatory

Mother's Education Level*

select

Mother's Education Level is mandatory

Parent's Primary Mobile*

Parent's Secondary Mobile

Father's WhatsApp Mobile

Mother's WhatsApp Mobile

Parent's Primary Email

Invalid Email Address

Parent's Secondary Email

Invalid Email Address

Guardian's Details

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User Relationship

Full Name

Country Code

Primary Contact Number

Primary Email

Education Level

Occupation Name

Photograph

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Identity Proofs

ID Proof	ID Proof No	Photocopy
PAN Card
Passport
Voter Card
Driving License
Aadhar Card
Ration Card

Permanent Address

House Number

Street/Landmark*

Steet/Landmark is mandatory

Village/City/Town*

City/Town is mandatory

Mandal*

Mandal is mandatory

Pin Code*

Country*

select

Country is mandatory

State*

select

State is mandatory

District*

select

District is mandatory

Address for Communication

Same As Above

Yes

House Number

Street/Landmark*

Steet/Landmark is mandatory

Village/City/Town*

City/Town is mandatory

Mandal*

Mandal is mandatory

Pin Code*

Country*

select

Country is mandatory

State*

select

State is mandatory

District*

select

District is mandatory

Education Details

S.No

Program

Board/University

Institution Name

Institution Address

Specialization

From Date

To Date

Is Local?

University Region

Hall Ticket Number

Certificate ID

GPA

Group Marks Obtained

Group Total Maximum Marks

Group Percentage of Marks

Total Marks Obtained

Total Maximum Marks

Percentage of Marks

Percentage

Certificate Phototcopy

SSC/CBSE/ICSE

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Yes

select

Calculate

Intermediate/Senior Secondary/Diploma

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Yes

select

Calculate

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Yes

select

Calculate

Schooling Details

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Study Certificate

Action

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Health Details

Family Doctor's Name

Doctor's Address

Mobile Number

Hospital Number

Heredity/Disorder history

Past Health Problems

Present Health Problems

Any current physician's care?

Any medications, antibiotics, pills or drugs?

Facilities & Preferences

Is Fee Reimbursement Applicable?*

Yes No

Is Hostel Required?*

Yes No

Food Type *

select

Food Type is mandatory

Is Transport Required?*

Yes No

Relative's Working in Sree Vidyanikethan Educational Institutions

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Sibling's Studying in Sree Vidyanikethan Educational Institutions

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Hobbies & Interests

Goal	Only characters are allowed
Hobbies	Only characters are allowed
Strengths	Only characters are allowed
Weakness	Only characters are allowed
Interested	Only characters are allowed

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