NRI Quota Admission Form

1. Student Name*

2. Age*

3. Date of Birth*

4. Gender*

MaleFemaleTransgender

(Upload the X Std Certificate in the slot provided)

6. Nationality*

7. Marital Status*

8. Religion*

9. Community*

10. Name of Father/Guardian*

11. Occupation & Annual Income of Father*

12. Address for Correspondence*

Mobile:*

Landline :

13. Address for Local Guardian*

Mobile:*

Landline :*

14. Permanent Address*

Mobile:*

Landline :*

15. NEET Roll Number*

NEET Rank/Score*

( Upload the NEET Hall Ticket and Score Card in the slot provided )

( Upload the KEAM Score Card in the slot provided )

Percentage of Marks Obtained

Physics/Chemistry/Biology*

Biology*

( Upload the XII Std (Plus Two) Certificate/Mark Sheet in the slot provided )

17. Name of the NRI Sponsor*

18. Relationship of Applicant with Sponsor*

19. Whether copy of the passport, Visa/Employment Certificate of the NRI Sponsor furnished*

YesNo

20. Whether Certificate from Village Officer in support of relationship of the applicant with NRI Sponsor furnished*

YesNo

( Upload the documents relating to SI.No. 17-20 above in the slots provided )

a) Relationship Certificate of the Sponsor and Students to be issued by the Revenue Authorities as per GO (MS) No. 243/2014/H&FWD dated 06-08-2014.

b) Overseas Employment Certificate issued by the Employer, attested by the Embassy and if self-employed, it should also be attested by the Embassy. In the case of non-submission of Embassy Certificate, the endorsement in the passport of the sponsor about the employment by the Embassy/Consulate shall be accepted. Certificate issued by the Embassy/Consulate stating that the sponsor is a Non-Resident Indian (NRI) or an Overseas Citizen of India (OCI) or the Green Card documents shall be accepted in lieu of the Overseas Employment Certificate issued by the Employer and attested by the Embassy.

c) Passport copy with Visa Stamped on it and attested by the Embassy.

d) A self-affidavit of the relationship between sponsor and the candidate (Sponsorship Certificate).

e) The Sponsor should be an Indian Citizen/Overseas Citizen of India/Person of Indian Origin and relevant document to prove the same.

f) SSLC + HSE + NEET, KEAM in a single pdf.

g) Passport size photo.

Signature of the Parent*

Signature of the student*

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NRI Quota Admission Form

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