Admission Form

Program Details

Admission Type

University Quota Management Quota

Personal Details

Passport Photo

Full Name (as per SSLC)

Date of Birth

Gender

Male Female

Nationality

Indian NRI Foreign

Aadhaar No

Religion

Category

GM SC ST OBC Specify

Physically Challenged

Yes No

Mobile No

Email ID

Parents Details

Father Name

Mother Name

Father Occupation

Mother Occupation

Annual Family Income

PAN No

Aadhaar No

Permanent Address

City

State

Country

Pincode

Correspondence Address

Father Mobile

Mother Mobile

Father Email

Mother Email

Guardian Details

Guardian Name

Address

Mobile No

Email ID

Foreign Student Details

Passport No

Visa No

Date of Issue

Date of Expiry

Academic Qualification

Examination	Institution / Board	Course	Year	Subjects	Marks	%
SSLC / X
PUC / XII
Degree
Any Other

Documents Submitted

Declaration

I hereby declare that the above information is true and correct.

Signature

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Date

Place

VIDHYA SHEKHAR EDUCATION TRUST (R)

VIDHYA SHEKHAR INSTITUTION OF MANAGEMENT STUDIES