Admission Form

Suryadatta Online Admission Form

A) GENERAL INFORMATION

Select Program:

First Name:

Middle Name:

Last Name:

Contact Email: Contact No: Alternate Contact No (Emergency): Adhar Card No: Blood Group: Date of Birth: Gender: Nationality: Religion:

Parent / Guardian Details

Father / Guardian’s Name: Professional Background (Father/Guardian): Designation (Father/Guardian): Mobile No (Father/Guardian): Mother’s Name: Professional Background (Mother): Designation (Mother): Email (Parent/Guardian): Family’s Yearly Income: Do you have any siblings? If so, mention names & occupations:

B) POSTAL ADDRESS

Communication Address: City: State: Country: Pincode: Permanent Address:

C) DETAILS FOR FOREIGN STUDENTS

Passport No: Visa No:

D) ACADEMIC DETAILS

10th Board Exam: Year: Percentage: 12th Board Exam: Year: Percentage:

E) INDUSTRY WORK EXPERIENCE (If Any)

Position Held: Organization:

F) EXTRA-CURRICULAR ACTIVITIES

Activity 1: Achievements: Hobbies & Interests:

G) OTHER DETAILS

Category: Are you attaching Domicile & Nationality Certificate?

H) RULES & REGULATIONS

Read Rules & Regulations Click here

I) DECLARATION

I confirm that the above information is correct and that I have read and agree to follow the rules and regulations.

I Agree

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Suryadatta Online Admission Form

A) GENERAL INFORMATION

Select Program: Name: Contact Email: Contact No.: Alternate Contact No.: Adhar Card No: Blood Group: Date of Birth: Age (as on 1st July 2020): Gender: Nationality: Religion: Father / Guardian’s Name: Professional Background (Father/Guardian): Designation (Father/Guardian): Mobile No (Father/Guardian): Residence No. (with STD Code): Mother’s Name: Professional Background (Mother): Designation (Mother): Email Id (Parents): Alternate Email Id (Parents): Family’s Yearly Income: Sources of Income: Do you have any Brother(s)/Sister(s)? If yes, their names & occupation:

B) POSTAL ADDRESS

Communication Address: Country: State: City: Pincode: Permanent Address: Country: State: City: Pincode:

C) DETAILS FOR FOREIGN STUDENTS

Passport No.: Passport Issued: Valid Till: Visa No.: Visa Type: Valid Till: Nationality: Country: Any Relative in Pune / India: Relationship: Contact No.: Email Id: Address: University Exam Given:

D) ACADEMIC DETAILS

10th Board Exam:
12th Board Exam:
Diploma (if any):
Graduation:
Any Other:
Computer Literacy:

E) INDUSTRY WORK EXPERIENCE (If Any)

Experience 1:
Experience 2:

F) EXTRA-CURRICULAR ACTIVITIES

Activity 1:
Activity 2:
Languages Known: EnglishHindiOther Hobbies & Interests: Strengths & Areas of Improvement: Why do you think SURYADATTA is the best option for you? Health Records:

G) OTHER DETAILS

Category: Gen/OpenSCSTOBCSBCVJ/NTSEBCJain MinorityOthers Attach Non Creamy Layer Certificate? YesNo Attach Domicile & Nationality Certificate? YesNo Physically Handicapped Candidate? YesNo Outstanding Performer in Academics? YesNo Gap in Education? YesNo Source of Information: NewspaperMagazineInternetAlumniCurrent StudentsParental ReferenceOther Hostel Facility: Preferred Mode of Payment: Own SourceEducation Loan

Documents to be submitted (Upload Copies):

H) RULES & REGULATIONS

Read Rules & Regulations (Click here)

I) DECLARATION

I confirm that the above information is correct and I have read all rules and regulations. [acceptance* declaration] I Agree

Suryadatta Education Foundation was established in the year 1999, with an aim to develop self motivated leaders who are able to make a mark in the allenging and vibrant economy.

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Suryadatta Online Admission Form

A) GENERAL INFORMATION

Parent / Guardian Details

B) POSTAL ADDRESS

C) DETAILS FOR FOREIGN STUDENTS

D) ACADEMIC DETAILS

E) INDUSTRY WORK EXPERIENCE (If Any)

F) EXTRA-CURRICULAR ACTIVITIES

G) OTHER DETAILS

H) RULES & REGULATIONS