SB COM ADM FORM

SATS NO: ★★

Select Medium ★★

Select Category ★★

Name of the Student in English as Entered in SSLC marks card ★★

Students Date of Birth

Select Gender

State PLACE OF Birth (Village/Town/City) DISTRICT Taluk

Nationality

Select Religion ★★

Caste ★★

Subcaste ★★

Student Permanent Address ★★

Student Local Address ★★

Mobile No ★★

Aadhar No ★★

Name of the Student as per Aadhaar Card ★★

Email ★★

FATHER'S NAME ★★

MOTHER'S NAME ★★

Name/Address of the Parents/Gurdian ★★

Parent's/Gurdian Annual Income ★★

Is Income Certificate Enclosed? Yes/No ★★

SCHOOL DETAILS(X STD/SSLC) Name of School School Address

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Particulars of SSLC/equivalent examination passed X STD/SSLC REG NO Examination Passed Month Examination Passed Year

If you have studied in IGCSE/CBSE/ICSE,give the details IGCSE/CBSE/ICSE REG NO IGCSE/CBSE/ICSE/Other

Whetherphysically challenged/Blind/Mentally challenged ★★ Whether Language Exemption is taken in 10th Std./SSLC: ★★

Mention the language claimed for Exemption ★★

Select Medium ★★

Totla Marks Obtained ★★

Results ★★

Percentage of Marks ★★

Select Part1 Language with English ★★

Part 2 Optional Subjects ★★

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