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Registration No:

2024127235
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System ID: 2024127235 Application No:Not Generated Yet
Programme Applied: Plan Applied:

PERSONAL DETAILS

First Name:
  • P
  • o
  • o
  • r
  • n
  • i
  • m
  • a

Last Name:
  • M
  • E
  • r
  • e
  • s
  • h
  • i
  • m
  • i

Gender:

M

F

Other

Date of Birth:
  • 0
  • 1
  • 0
  • 1
  • 1
  • 9
  • 7
  • 0

Place of Birth:

Category:

*Please attach Minority Certificate, if any

General

SC

ST

OBC

Other

Differently Abled

Domicile State:

*As per 10th Marksheet

Physically Challenged:

*As per 10th Marksheet

Y

N

Religion:

Hindu

Muslim

Sikh

Christian

Jain

Buddhist

Parsee

Other

Nationality:

Father’s Name:

Mother’s Name:

Father’s Qualification:

Mother’s Qualification:

Father’s Occupation:

Mother’s Occupation:

Household Income (Per Annum):

Less than `1,00,000

`1,00,001-3,00,000

`3,00,001-5,00,000

`5,00,001-8,00,000

Above `8,00,000

ID Proof:

 Aadhaar No.:
Pan Card No:
Passport:
Any Other:

ABC ID:

Permanent Address (As mentioned in ID):

  • City: BENGALURU
  • State:
  • Pin Code:

Landline No:

Student Mobile No:
  • 7
  • 3
  • 3
  • 8
  • 4
  • 6
  • 0
  • 4
  • 9
  • 1

Parent's Mobile No:

Email (Student):

 ppriyaereeshimi@gmail.com

Email (Parent):

Source of Information:

Online/Internet

Newspaper

TV

Radio

Hoarding

Walk-in

Education Fair

University Students

Friends/Relatives

Consultant

Others

EDUCATIONAL QUALIFICATIONS

Examination Passed Year of Passing Board/University School/College Name City State Mark Scheme %(Agg.)
Xth Standard
XIIth Standard
Graduation
Other
Post Graduation

Name of the Degree:

Graduation Other Post Graduation

Details of Marks: ( Marks Obtained (MO))
PCM (in %) PCB (in %) PCSM (in %) School No. Centre No. Roll No. ID Card No.

ENTRANCE EXAMINATION DETAILS:

JEE Rank (AIR) UPSEE Rank (Gen.) UPSEE Rank (Biotech)
MAT (Percentile) CAT (Percentile) XAT (Percentile)
NATA (Score) CLAT (Score) LSAT (Score)
NEET (Score) SUAT (Score) Gate
SLET MPHIL NET
Any other

Does any of your sibling(s) studies at any of the Sharda Group of Institutions?

Yes

No

If yes, please give details:

Name

Relationship

Programme

System ID

Year of Admission

DECLARATION BY STUDENT & PARENT

I Parent/Guardian, of Poornima M Ereshimi do hereby declare that the information given above is true and correct. I stand guarantee for good conduct of my ward during the period of his/her study in the University/Hostel. I am aware that the University is authorised to initiate disciplinary action against my ward for violation of any of the rules and regulation/code of conduct which is available on the University’s website (www.sharda.ac.in). I also promise to compensate fully the damages that may be caused by my ward due to his/her misconduct. I also promise to pay the fee on time as per the instructions issued by the University from time-to-time, failing which an appropriate penalty may be.
05-11-2024 BENGALURU

DATE

PLACE

Signature of Student

DOCUMENTS CHECKLIST

Documents

Certificate/Roll No.
Application Form with a photograph affixed No
Photocopy of 10th Marksheet No
Photocopy of 12th Marksheet/Admit Card No
Photocopy of Diploma Marksheet No
Photocopy of Graduation Marksheet No
Photocopy of Other Marksheet No
Photocopy of Post Graduation Marksheet No
Photocopy of Entrance Exam Scorecard No
ID Proof No
Category Support Documents (Other Than General) No
Physically Challenged Certificate (If Any) No
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