Admission Helpline
Call : +91 9999390555
Application For Session 2011-2012
APPLICATION FOR:University Program Source of Information
1. Name (In Block Letters) *
2. Father’s / Husband’s Name
Mobile
Email
3. Date of Birth* (dd-mm-yyyy)
4. Category General  Others  SC  ST  OBC  Physically Challenged 
5. Sex:* Male Female 6. Marital Status
6. Maiiling Address

Address Line1   

Address Line2   

Address Line3  

6. Country India   Others 
State City Pin Code
City State Pin Code Country

8.  Educational Qualification (In order of X, XII, Graduation, Post Graduation)

  Year of Passing Course Completed Board / University % / CGPA received Rank / Scholarship secured (if any)
Xth
XXth
Graduation
Post Graduation

 


9. Total Work Experience (Completed Years & Months as on till date ) Year Month
10. Work Experience Details:

  Name of Organization Designation Held Number of Years / Months
Current Organization
Previous Organization 1
Previous Organization 2
Previous Organization 3

11. Payment Details : Mode of payment: DD Cash    EFT/Net Transfer Online   Cheque

DD/Cheque No/ EFT/Net Transfer/Online Tr. No Bank Name Date Amount
(dd-mm-yyyy)
How do you propose to finance the fees for Programme?

STATEMENT OF PURPOSE

This personal statement is designed to assist the Admissions Selection Committee learn more about you and your motivation for undertaking the programme.
(If you are typing in your response - please type in each individual line and then move to the next line)

Instructions for filling up the form

  1. Sex: Fill up M or F for Male or Female
  2. Marital Status: Fill up as M for Married or S for Single
  3. Mailing Address: This is the address to which all communication will be sent from Alethia. Hence, fill it up carefully, including the Pin code.
  4. Academic Background: Fill ER for Engineering, SN for Science, AR for Arts, CM for Commerce, AG for Agriculture and OR for Others
  5. Fill in the total work experience in completed years and months as on till date
  6. Educational Qualification:  Fill in all the details starting with 10th standard
  7. Work Experience: To be filled in by all candidates (excluding summer training & other experiences relating to your Graduation/ Post graduation)
  8. CHECKLIST FOR ENCLOSURES:
    a. Self attested passport size photos (4 in numbers)
    b. Attested copies of all testimonials and certificates relating to qualification and experience
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