Siva Sivani Degree College
(Affiliated To Osmania University)
(Co-Education)
Kompally, Secunderabad – 500100, T.S., India
Phone No: 9247048112, Website: www.ssdc.ac.in
Application Form For Admission into Undergarduate courses
| Course Preferences: | ||
|---|---|---|
| Degree | {{aplForm.prgNm}} |
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| Course Preference 1 | {{crsOneNm}} | |
| Course Preference 2 | {{crsTwoNm}} | |
| Academic Year | {{aplForm.acYrNm}} |
| Name | {{aplForm.Title}}.{{aplForm.FNa}}{{aplForm.LNa}} | ||
| Gender | Male Female | Mobile No. | {{aplForm.CnAdMob}} |
| Email Address | {{aplForm.CnEmail}} | Date of Birth | {{aplForm.DOB}} |
| Place of Birth | {{aplForm.CnBpl}} | Aadhar Number | {{aplForm.NatID}} |
| Identification Marks | {{idMarksNm}} | Nationality | {{aplForm.Natnl}} |
| Religion | {{aplForm.Rlig}} | Caste & Sub Caste | {{aplForm.Comnty}} |
| Blood Group | {{aplForm.blodGpNm}} | Mother Tongue | {{aplForm.MothTng}} |
| Second Language | {{aplForm.medInst}} | ||
| Residential Address Details: | |
| House No. & Street | {{aplForm.CnAdL1}} |
| Village | {{aplForm.CnAdL2}} |
| Mandal | {{aplForm.CnAdL3}} |
| District | {{aplForm.CnAdCty}} |
| State | {{aplForm.CnAdStat}} |
| Pin Code | {{aplForm.CnAdPin}} |
| Parents/Guardian Details: | |||
| Father Details | Mother Details | Guardian Details | |
| Name | {{aplForm.FatNa}} | {{aplForm.MotNa}} | {{aplForm.GrdnNa}} |
| Mobile Number | {{aplForm.FatAdMob}} | {{aplForm.MotAdMob}} | {{aplForm.GrdnAdMob}} |
| Email Address | {{aplForm.FatEmail}} | {{aplForm.MotEmail}} | {{aplForm.GrdnEmail}} |
| Occupation | {{aplForm.FatOcc}} | {{aplForm.MotOcc}} | {{aplForm.GrdnOcc}} |
| Organization Name | {{aplForm.FatEmyr}} | {{aplForm.MotEmyr}} | |
| Address of Organization | {{aplForm.FatAdL1}} | {{aplForm.MotAdL1}} | |
| Net Monthly Income | {{aplForm.FatInc}} | {{aplForm.MotInc}} | |
| Educational Details: | |||
| Exam Details | |||
| Name of Examination | {{qul.QlfyEx}} | Previous College Name | {{qul.Inst}} |
| Board of Education | {{qul.Univ}} | Hall Ticket Number | {{qul.RegNo}} |
| Marks Obtained | |||
| Subject | Maximum Marks | Marks Secured | Year of Passing |
| {{subj.CnSubj}} | {{subj.MaxMark}} | {{subj.Scored}} | {{subj.mnYrAprd | date:'dd-MM-yyyy'}} |
| Total | {{qul.TotMrk}} | Percentage | {{qul.Percent}} |
| Extracurricular Activities: | |
| Hobbies | {{aplForm.RefTchr}} |
| Interested in YOGA | {{aplForm.Rmrks}} |
| Interested in Aerobics | {{aplForm.OthInfo}} |
| Member of NSS | Yes No |
| Sports | {{aplForm.sports}} |
| Payment Details: | |
| Transaction ID | {{aplForm.addnlDtls.oATxId}} |
| Transaction Amount | {{aplForm.addnlDtls.oATxAmt}} |
| Transaction Status | Success Failure |
| Transaction Date | {{aplForm.addnlDtls.oATxDt}} |
| Payment Type | Online |
| Declaration: | ||
| I certify that the information submitted by me in support of this application is true to the best of knowledge and belief. I understand that in the event of my information being found false or incorrect, my admission is liable to be rejected/cancelled at any stage of the program. I undertake to abide by the disciplinary rules and regulations of the institute. | ||
| Applicant Name: {{aplForm.FNa}} {{aplForm.LNa}} | Parent Name: {{aplForm.FatNa}} | Date: {{crDate}} |