Forms available in
1st week of December'09
 
 


Any Graduate / Student who have appeared for final year Graduation may apply
Application for: (Please tick in respective box)
Sir, I herewith apply for admission to the following course in the academic year 2010
Course :
 * PERSONAL DETAILS :
    * Name :
     
Last Middle First
     * Date of Birth :
 Nationality :
    * Father's / Guardian   Occupation :
   * Permanent       Address :
       Tel No. :
     (with STD code)
(R)    
(O)    
Mobile :  
     * E-mail :
     * Qualifying Examination : CAT / XAT / MAT / ATMA / CET / SAT / other if any (specify) :

        Composite Score:                                    Percentile:
EDUCATIONAL INFORMATION :
Exam
Year of completion
Marks in %
* SSC (10th)
 . 
* HSC (12th)
 . 
* Graduation/Previous Year  - mention specification e.g.: B.E. (mech.)
 . 
Any other
 . 
Work Experience: ( Please fill the table below starting from your Current Job )
Organization
Designation
Tenure (months)

Preferred Location for GD/PI :   

How did you come to know about SURYADATTA :
Print Media
Friends Website Exhibition
Other Source  Pls Specify
Any other details (Please specify) :   

Copies to be attached :  1. Copy of your Graduation / Previous Year Marksheet
                                             2. Copy of Entrance Score Card

 Remark : Send Hard or Soft copyalongwith respective enclosure.
                     
 
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