etlab | PG Student Registration for Academic Year 2023

Style:

Personal Details

First Name *

Middle Name

Last Name

Gender *

Blood Group

Date of Birth *

Mother Tongue

Place of Birth

Nationality

Religion *

Caste *

Eligible Reservation Category

PWBD (Person With Benchmark Disability)

APL/BPL

Economically Weaker Section(EWS)

Aadhar No *

Economicaly Backward

Admission Details

Admission for *

Academic Year *

Program Opted *

Type

Nativity

Qualification

Graduation Details

University

Year

Program

S1 / First Year Mark

S1 / First Year Total Mark

S1 / First Year Percentage

S2 / Second Year Mark

S2 / Second Year Total Mark

S2 / Second Year Percentage

S3 / Third Year Mark

S3 / Third Year Total Mark

S3 / Third Year Percentage

S4 Mark

S4 Total Mark

S4 Percentage

S5 Mark

S5 Total Mark

S5 Percentage

S6 Mark

S6 Total Mark

S6 Percentage

Percentage

Secondary School Details

Board

Year

Reg No

TC Details

Last College

TC No

TC Date

Contact Details

Present Address

House Name *

Street *

Post / Street 2 *

District *

Pin *

State *

Permanent Address [ same as present address ]

House Name *

Street *

Post / Street 2 *

District *

Pin *

State *

Student Phone No *

Email *

Land Phone

Personal Marks for identification

Personal Marks 1

Personal Marks 2

Bank Details

Name of Bank

Account No

Name of Branch

IFSC Code

Hostel Facilities (Only for girls)

Do you need Hostel Facilities

NoYes

Medical Fitness Details

Name of Doctor

Date

Extra Curricular Activities

Arts

Sports

Parent Details

Father's Name *

Mother's Name *

Father's Occupation

Mother's Occupation

Father's \ Guardian's Mobile No *

Mother's Mobile No

Parent Email

Phone Office

Select Guardian

Annual Income

Name of Guardian

Relationship with the student

Address of Guardian

Guardian's No

Upload Your Photo

Passport Size Photo

Maximum size 200KB, dimensions: 150x200px

Image crop / resize tool

Upload Your Signature

Signature

Maximum size 30KB, dimensions: 150x100px

Upload Parent's Signature

Parent Signature

Maximum size 30KB, dimensions: 150x100px

Upload Documents

SSLC Certificate

Maximum size 1MB, Pdf only

+2 Certificate

Maximum size 1MB, Pdf only

Degree Certificate

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Degree Consolidated Mark List

Maximum size 1MB, Pdf only

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