Application Form

1.Student Details

Full Name Email Id Phone
Date of Birth Sex
Male Female
 Mother Tongue
Place of Birth Home State
Nationality Country of Citizenship
Caste
SC ST OBC GENERAL

2.Parent's Details

Father Name Mother Name
Father's Occupation Mother's Occupation
Address
Phone Alternative Phone

3.Academic Information

Examination passed Branch / Subject Year of passing Board % of marks / class
X
XII

4.Hostel Accomodation

Yes No
Single Occupancy   Double Occupancy   Multiple  

5.How did you hear of Shravana
Others Specify

6.Photo& Signature

Passport size photo : Signature :