0% found this document useful (0 votes)
134 views1 page

AU Enrollment Form

This document contains an enrollment form for SRI SAI DEGREE COLLEGE in Bobbili for the 2016-2017 academic year. The form requests student information such as name, father's name, date of birth, address, contact details, educational qualifications, caste and other categories for the purpose of student registration. Fields include name, gender, date of birth, religion, caste, address, contact details, educational history and medium of instruction. The student is also asked to provide a signature and photo for the registration process.

Uploaded by

Bhaskar Naidu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
134 views1 page

AU Enrollment Form

This document contains an enrollment form for SRI SAI DEGREE COLLEGE in Bobbili for the 2016-2017 academic year. The form requests student information such as name, father's name, date of birth, address, contact details, educational qualifications, caste and other categories for the purpose of student registration. Fields include name, gender, date of birth, religion, caste, address, contact details, educational history and medium of instruction. The student is also asked to provide a signature and photo for the registration process.

Uploaded by

Bhaskar Naidu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 1

SRI SAI DEGREE COLLEGE - BOBBILI

ANDHRA UNIVERSITY STUDENT ENROLMENT FORM 2016 - 17


Aadhar Card Number
SSC Hall Ticket Number
Student Name [As per SSC]
Father Name [As per SSC]
Mother Name [As per SSC]
Gender [MALE / FEMALE] Date of Birth
1.
Moles:
2.
Religion Nationality
Caste Category [SC/ST/BC-A/BC-B/BC-C/BC-D/BC-E/OC]

Physically Challenged [YES / NO] Type [OH/VH/HH]

Foreign Student [YES / NO ] Special Quota [NCC/Sports]


Address for Communication:
Door No/Street: Village
District State
Pin Code E-Mail ID
Medium [TM / EM] Land Line No:
Mobile No: Second Language TELUGU
Course Type [BSc | B.Com | BA] Group [MPC/MPCS/MSCS/BZC]
10th 10th
10th Board [SSC/CBSE/ICSE/Others]
Percent Year
Inter Board Inter Inter
[BIEAP/CBSE/ICSE/Others] Percent Year
Office Use Only [Write the Temporary
Registration Number]

PHOTO

Sign In The Below


Box With Black
Ball Point Pen

You might also like