UG - NRI/MANAGEMENT QUOTA ADMISSION FORM

1. Student Name (Required)

2. Age (Required)

3. Date of Birth (Required)

4. Gender (Required)
Male Female Transgender

(Upload the X Std Certificate in the slot provided)

5. Email (Required)

6. Nationality (Required)

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 & Score Card in the slot provided )

16. KEAM Rank

( Upload the the KEAM Score Card in the slot provided )

17. Qualification

Name of Examination

Year of Passing

University/Institution/Board

Percentage of Marks obtained in Plus Two

Physics, Chemistry & Biology

Biology

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

18. Name of the NRI Sponsor

19. Relationship of Applicant with Sponsor

20. Whether copy of the passport, Visa/Employment Certificate of the NRI Sponsor furnished
Yes No

21. Whether Certificate from Village Officer in support of relationship of the applicant with NRI Sponsor furnished
Yes No

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

22. References

Name

Address

Mobile

Name

Address

Mobile

23. Languages Known

Language

Read

Write

Speak

Language

Read

Write

Speak

Language

Read

Write

Speak

Language

Read

Write

Speak

24. NRI Eligibility

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. (Required)

g) Passport size photo (.jpg) 200 x 250px. (Required)

I hereby declare that all information furnished above is true to the best of my knowledge. I promise to abide by the rules and regulations of the college.

Signature of the parent (.jpg) 200 x 150px. (Required)

Signature of the student (.jpg) 200 x 150px. (Required)

Place (Required)

Date