Sardardham | Hostel Registration

Onetime Master/Professional Registration Form

BASIC DETAILS

First Name *

Father 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) *

CURRENT EDUCATIONAL DETAILS

Course Fee Receipt(max: 2mb)*

Course Name*

College/ firm/ Organization Name*

Semester(if master them select semester)

Course Start Date *

Course End Date*

College/ firm/ Organization Address *

College/ firm/ Organization mobile no*

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

PREVIOUS EDUCATIONAL DETAILS

Graduation Marksheet Pics (Last Exam-max:2mb) *

Graduation Education Category *

Graduation Education *

Graduation Year of Completion*

Board / University / Institute *

Graduation Total CPI *

Graduation Obtain CPI*

Graduation percentage *

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