PERSONAL DETAILS Name of the Student in English as entered in SSLC marks card (CAPITAL LETTERS ONLY) Email Date of Birth Gender —Please choose an option—MaleFemaleTG Candidate's Permanent Address Candidate's Correspondence Address Mother’s Name Father’s Name Name of the Gaurdian with Address Annual Income of the Parents / Guardian Is Income Certificate enclosed YesNo PREVIOUS EDUCATION DETAILS Name of the Educational Institution SSLC / Equivalent completed Particulars of SSLC / Equivalent Qualifying Examination Registration Number Month / Year of Passing Subjects Studied Marks Obtained Total Marks Obtained Percentage Participation in Sports/Extra Curricular activities Languages and Combination Offered to study in the PU Course Optional Subjects STUDENT'S AND PARENT'S/GAURDIAN'S UNDERTAKING I hereby accept that I will abide by the Administrative/Academic/Examination rules of the PU Department during my study in the College. I hereby accept that during my stay in College, I will maintain discipline, and pay the damages caused by me. I hereby accept that, I will ascertain the Academic/Attendance progress of the Student from time to time from the college and also pay the damages if any caused by the Student.
