:: Welcome to SRKSM :: ANAND INSTITUTE OF BUSINESS STUDIES

Eligible:		Admission Card issued on :
Last Date of payment of fees		Date:
Office Superintendent

Full Name in Capital :

Shri./Kum/ Smt.:
	(Surname)	(Name)	(Father’s/Husband’s Name)

Permanent Address :

External Theory Paper Marks:

Address:
Date of Birth :
Place of Birth : (Village/Town/City) (State)
Age :
	Male: Female:
Nationality :
Phone No. :

Obtained	Out of	Percentage

First Degree :
B.A./B.Com./ B.B.A. :

Year of Passing :

Percentage (%) :

Class Obtained :

University :

Subject : Special / Optional

Have you applied for admission to any other Degree/ Diploma / Certificate Course in this University ?

If yes, Please Specify :

At present I am reading for :

class at

University.

Click ( ) the appropriate boxes (if applicable) and enclose certificate from social welfare office.

Scheduled Caste

Scheduled Tribe

Economicall Backward

O.B.C. B/P

Handicapped

ANNUAL INCOME OF THE PARENTS / GUARDIAN / SELF : Rs. (Approx).

PARTICULARS ABOUT THE EXAMINATION/S PASSED
UNDER THE PATTERN OF 10+2+3 (Enclose certified copies of Mark Sheets and passing certificates)

Name of Examination	Month & Year of Passing	Class & Marks Obtained	Name of the College & University	Subjects Offered
Std. X
Std. XII
T.Y.B.A. / B.Com./ B.B.A.

I hereby declare that the information given herein is correct and the misstatement, if any whenever found, will nullify the admission, if granted. I also undertake to observe the discipline and obey the authorities.

I know that for becoming eligible for University examination the rules regarding at least 75% attendance of total teaching working days and minimum marks to be obtained at the internal test are required to be fulfilled.

Note : Incase there is gap between the last examination passed and the year of seeking admission the student is required to submit bonafied statement to that effect.

Returned with compliments to the Registrar for further action.

Date :

Sign of the Applicant :

Admitted / Not Admitted
Remarks of Director of Institute

Date :

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