Registration No:2024127235 |
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| Programme Applied: | Plan Applied: | ||
PERSONAL DETAILS
First Name: |
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Last Name: |
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Gender: |
M F Other |
Date of Birth: |
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Place of Birth: |
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Category:*Please attach Minority Certificate, if any |
General SC ST OBC Other Differently Abled |
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Religion: |
Hindu Muslim Sikh Christian Jain Buddhist Parsee Other |
Nationality: |
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Father’s Name: |
Mother’s Name: |
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Father’s Qualification: |
Mother’s Qualification: |
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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.: |
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Pan Card No: |
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| Passport: |
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Any Other: |
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ABC ID: |
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Permanent Address (As mentioned in ID):
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Landline No: |
Student Mobile No: |
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Parent's Mobile No: |
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Email (Student): |
ppriyaereeshimi@gmail.com | Email (Parent): |
Source of Information: |
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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)) |
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| 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 |
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DECLARATION BY STUDENT & PARENT
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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. |
| 01-07-2024 | 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 |