Application Form

UDAYANATH (AUTONOMOUS) COLLEGE OF SC. & TECH.

Appropriate Class *

Subject *

Name of the Applicant (In BLOCK letters) (Surname first) *

Sex *

Religion *

Nationality *

Marital Status:-*

Date of Birth *

Father's Name *

Mother's name *

Guardian's Name (If Father is not alive)

Permanent Address *

Permanent Address * Same As Permanent

Contact No * Note: Duplicate Entry Not Allowed

Email ID * Note: Duplicate Entry Not Allowed

Occupation of Father / Guardian *

Category *

University Registration No

Extra Weightage *

Physical deficiencies / disabilities if any *

Whether You are a child of Ex-military serviceman *