Sardardham | Hostel Registration

Onetime Collage Registration Form

Admission Base: (Merit)

Last 12th Stream: *

D2D Stream *

Year of Completion*

Board / University / Institute *

Total Marks Example*

Obtain Marks Example*

percentage *

HSC Marksheet Pics (max:2mb)*

Sem-5 Year of Completion*

Sem-5 Board / University / Institute *

Sem-5 Total CPI *

Sem-5 Obtain CPI*

Sem-5 percentage *

Sem-5 Marksheet Pics (max:2mb)*

Sem-6 Year of Completion*

Sem-6 Board / University / Institute *

Sem-6 Total CPI *

Sem-6 Obtain CPI*

Sem-6 percentage *

Sem-6 Marksheet Pics (max:2mb)*

BASIC DETAILS

First Name *

Father Name/Guardian Name*

Surname *

Sub Caste *

Gender *

Native Place *

Mobile Number*

E-mail *

Marital status *

Guardian Mobile Number*

Date of Birth *

Age *

Blood Group *

Permanent Address *

State *

City(District)*

Taluka*

Pincode *

Is Correspondance Address same as Permanent Address

Correspondance Address *

Correspondance State *

Correspondance City (District)*

Correspondance Taluka*

Correspondance Pincode *

Is handicapped *

Passport Sized Photo (max: 800kb,JPG/PNG) *

Leaving Certificate (max: 2mb,PNG/JPG/PDF) *

ID Proof Type*

ID Proof No *

ID Proof (max: 2mb,PNG/JPG/PDF) *

Local Guardian Name

Local Guardian Mobile

CURRENT EDUCATIONAL DETAILS (optional)

College/School Fee Receipt(max: 2mb)

Course Name*

College/School Name*

Semester/Standard*

Terms Start Date

Terms End Date

INCOME DETAILS

Person's Full Name *

Relation With Candidate *

Occupation *

Business/Job Address*

Income Per Year*

Account Holder Name

Account Number

IFSC Code

Bank Name

Branch Name

Branch Address

* I hereby confirm that all my details filled in the above form are true and correct. Also, in case my details are found to be incorrect, the management can cancel my admission at any time. I am bound to follow the rules of the institution.
(હું ખાતરી આપું છું કે ઉપર ફોર્મમાં ભરેલ મારી તમામ વિગતો સાચી અને યોગ્ય છે. તેમજ મારી વિગતો ખોટી ઠરે તેવા સંજોગોમાં મેનેજમેન્ટ ગમે ત્યારે મારો પ્રવેશ રદ કરી શકે છે. હું સંસ્થાના નિયમોનું પાલન કરવા બંધાયેલ છું.)

Student's Full Name:
Sub Caste:
Gender:
Native Place:
Mobile:
Email:
Marital Status:
Guardian Mobile:
Date of Birth:
Blood Group:
Age:

Permanent Address:
State:
City:
Pincode:
Correspondance Address:
Correspondance State:
Correspondance City:
Correspondance Pincode:
Is handicapped:
Passport Sized Photo:
Leaving Certificate:
ID Proof:

Basic Details

PREVIOUS EDUCATIONAL DETAILS

INCOME DETAILS

BANK DETAILS

Basic Details

PREVIOUS EDUCATIONAL DETAILS

INCOME DETAILS

BANK DETAILS

Admission details & Hostel Rules