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Sathyabama
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Sathyabama
sathyabama
Name ( Full Name In Block Letters As Per Qualifying Examination Certificate )
Gender
- Select -
Male
Female
Other
Application for
- Select -
Undergraduation
Postgraduation
Marks secured in 10th standard in this specified format Ex: Marks Secured / Maximum Marks
Percentage obtained in 10th standard
Year of passing - 10th standard
Marks secured in 12th standard in this specified format Ex: Marks Secured / Maximum Marks
Percentage obtained in 12th standard (Please write percentage for group subjects only , not the total percentage)
Year of passing - 12th standard
Registration number (Qualifying examination - 12th or +2)
Name of the school / college (Govt./Govt.Aided) in which +2 or 12th has been studied
Stream
- Select -
Science
Commerce
Others
Month and year of appearing qualifying examination (Enter approximate Day)
Application for
- Select -
Under graduation
Post graduation
Name of course completed (eg B.Com / BA history / B.Sc Maths / BE - EEE etc)
Year of passing of degree
Percentage of marks in degree
Medium of instruction
Community
- Select -
General / OC
OBC / BC
MBC
SC
ST
Date of birth
State of residence
Parent's mobile number
E-mail id
Religion
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Hindu
Christian
Muslim
Others
Age as on 01.06.2023
City
Students mobile number
Parent / guardian's name
Parent / guardian's occupation
Permanent address (Please provide address with pin code)
Blood group
Description about the candidate (Not more than 500 words)
Programme Preferred (This is the list of UG Programme Choices, if applying for PG Programme please write in the space provided for the preferred choice of the branch)
- Select -
B.E - ECE
B.E - EEE
B.TECH - IT
B.E- MECH
B.E - MECHATRONICS
B.E - AERO
B.E - AUTO
B.TECH - BIOMEDICAL
B.TECH - CHEMICAL
B.E - CIVIL
B.Sc - PHYSICS
B.Sc - CHEMISTRY
B.Sc - MATHEMATICS
B.Sc - VISCOM
B.Sc - PSYCHOLOGY
B.Sc - FASHION DESIGN
B.Sc - BIOTECHNOLOGY
B.Sc - BIO CHEMISTRY
B.Sc - MICROBIOLOGY
B.Sc - BIO INFORMATICS AND DATA SCIENCE
B.Sc -CLINICAL NUTRITION AND DIETETICS
B.Sc - MEDICAL LAB TECHNOLOGY
B.A - ENGLISH
B.B.A.
B.Com. - GENERAL
B.Sc. Computer Science
B.Sc.Computer Science with Artificial Intelligence
M.B.A
Other
Preferred choice of the branch - 1st Preference
Preferred choice of the branch - 3rd preference
Preferred choice of the branch - 2nd preference
Preferred choice of the branch - 4th preference
Do you need hostel accommodation?
- Select -
Yes
No
Nature of disability
- Select -
Blindness
Low-vision
Leprosy Cured persons
Hearing Impairment (deaf and hard of hearing)
Locomotor Disability
Dwarfism
Intellectual Disability
Mental Illness
Autism Spectrum Disorder
Cerebral Palsy
Muscular Dystrophy
Chronic Neurological conditions
Specific Learning Disabilities
Multiple Sclerosis
Speech and Language disability
Thalassemia
Hemophilia
Sickle Cell disease
Multiple Disabilities including deafblindness
Acid Attack victim
Parkinson's disease
Please give details of your disability in not more than 50 words
Do you need extra assistance / assistive device / assistive technology within the university campus
- Select -
Yes
No
If yes , please specify
Declaration by the Candidate : I hereby declare the information furnished above is true and if found any discrepancy the admission/selection shall be cancelled without any further intimation.
- Select -
Yes
Upload copy of provisional degree certificate if available (for PG applications)
Choose File
Upload copy of class XII or equivalent mark sheet
Choose File
Upload disability certificate
Choose File
Upload mark sheet for each semester of the course (for PG applications)
Choose File
Upload copy of class X or equivalent mark sheet
Choose File
Upload your passport size photo
Choose File
Upload your resume (for PG applications)
Choose File
Submit
For any clarification, contact:
89396 75544
awards@abilityfoundation.org
