{{college.collegeName|upper}} {{college.autonomous?( college.autonomous|slice(0, 2)|upper):''}}{{college.autonomous?(college.autonomous|slice(2)|lower ):''}}

Phase:{{student.admissionPhase}}

Name	: {{student.studentName\|upper}}	Gender	: {{student.gender}}
Date of Birth	: {{student.dateOfBirth\|date("d/m/Y")}}	Religion	: {{student.religion}}
Student E-mail	:{{student.student_email}}	Category	:{{student.seatReservationQuotaId}}
Student Contact No	:{{student.studentMobile}}	Domicile Status	: {{student.domicileId}}
Mother Tongue	: {{student.motherTongue}}	Nationality	:{{student.nationality}}
Extra-Curricular Activities	: {{student.extraCurricularActivities}}	Second language opted in XII STD	: {{student.secondLanguage}}

{% if ('tenthMarkEntry' in allFormFields or 'TENTH' in allFormFields) %} {% endif %} {% if ('eleventhMarkEntry' in allFormFields or 'ELEVENTH' in allFormFields) %} {% endif %} {% if ('twelfthMarkEntry' in allFormFields or 'TWELFTH' in allFormFields) %} {% endif %}

Class X or Equivalent
Board	: {{student.tenthBoardStream}}
Examination Passed	: {{student.sslcMonth}} {{student.sslcYearOfPass}}
Institution Studied	: {{student.tenthInstitution}}
Reg. No.	: {{student.sslcRegNumber}}

{% for mark in student.tenthMarkEntry %} {% endfor %}

Subject	Max. Marks	Obtained Marks
{{mark.subjectName}}	{{mark.maxMark}}	{{mark.markObtained}}
Total :	{{student.tenthMarkEntryMaxTotal}}	{{student.tenthMarkEntryTotal}}
Percentage of all Subjects :	{{student.tenthMarkEntryPercentage}}

Class XI or Equivalent
Board	:{{student.eleventhBoardStream}}
Examination Passed	: {{student.eleventhMonthOfPass}} {{student.eleventhYearOfPass}}
Discipline	: {{student.eleventhStream}}
Institution Studied	: {{student.eleventhInstitution}}
Reg. No.	:{{student.eleventhRegNumber}}

{% for mark in student.eleventhMarkEntry %} {% endfor %}

Subject	Max. Marks	Obtained Marks
{{mark.subjectName}}	{{mark.maxMark}}	{{mark.markObtained}}
Total :	{{student.eleventhMarkEntryMaxTotal}}	{{student.eleventhMarkEntryTotal}}
Percentage of all Subjects :	{{student.eleventhMarkEntryPercentage}}

Class XII or Equivalent
Board	: {{student.twelfthBoardStream}}
Examination Passed	: {{student.hssMonth}} {{student.hssYearOfPass}}
Discipline	: {{student.twelfthStream}}
Institution Studied	: {{student.hssInstitution}}
Reg. No.	:{{student.hssRegNumber}}

{% for mark in student.twelfthMarkEntry %} {% endfor %}

Subject	Max. Marks	Obtained Marks
{{mark.subjectName}}	{{mark.maxMark}}	{{mark.markObtained}}
Total :	{{student.twelfthMarkEntryMaxTotal}}	{{student.twelfthMarkEntryTotal}}
Percentage of all Subjects :	{{student.twelfthMarkEntryPercentage}}

Father's Name	: {{student.salutation}} {{student.fatherName\|upper}}	Mother's Name	: {{student.salutationMother}} {{student.motherName\|upper}}
Occupation	: {{student.fatherOccupation}}	Occupation	: {{student.motherOccupation}}
Annual Income	: {{student.fatherAnnualIncome}} - {{ student.fatherIncomeCurrency \| split(' - ', 2)[1] }}	Annual Income	: {{student.motherAnnualIncome}} - {{ student.motherIncomeCurrency \| split(' - ', 2)[1] }}
E-mail	: {{student.fatherEmail}}	E-mail	: {{student.motherEmail}}
Phone Number	: {{student.fatherMobileNo}}	Phone Number	: {{student.motherMobileNo}}

ADDRESS

Permanent Address :{{student.permanentAddress}}

Local/ Guardian Address :{{student.guardianAddress}}

Sports :	{{student.sportsItem}}
Level of participation :	{{student.sportsLevel}}

Disability :	{{student.disability}}
Disability Percentage:	{{student.disabilityPercent}}

Other Details

{% if not student.weightageQuota.subdivision %} {{student.weightageQuota.weightageName}} {% elseif student.weightageQuota.subdivision %} {{student.weightageQuota.subDivisionName}} : {{student.weightageQuota.selected}} {% endif %}

{% for quotaChild1 in student.weightageQuota.childList %}

{% if not quotaChild1.subdivision %} {{quotaChild1.weightageName}} {% elseif quotaChild1.subdivision %} {{quotaChild1.subDivisionName}} : {{quotaChild1.selected}} {% endif %}

{% endfor %}

{% if 'batchTiming' in allFormFields %} Batch Timing:{{student.batchTiming}} {% endif %}

Place of Birth:{{student.placeOfBirth}}

Statement of Purpose : If selected my objectives during the period of study at {{college.collegeCode}} are:

UNDERTAKING

I hereby declare that the information furnished is correct & authentic. I have read and agreed to the Terms & Conditions.


Signature of the Parent / Guardian	Signature of the Student

FOR OFFICE USE ONLY:

Date of Admission:

Language :

Principal's Signature

{{student.applicationNo}}

{{form.name}}

UNDERTAKING