ST.MARY'S INSTITUTE OF TECHNOLOGY & SCIENCE

APPLICATION FORM FOR ADMISSION TO DIPLOMA COURSES - 2019-20

Name of the candidate as given in SSLC or Equivalent Certificate In BLOCK letters)

Add your image
*File should be less than 2mb.Allowed file extension(.jpg,.png,.jpeg)

Sex

Date Of birth

Native district

Nationality

Religion

Category

Caste

Annual family income

Blood group

Permanent Address

Address for communication

Name and occupation of

Father Mother Guardian

Name

Occupation

Relation

Mobile

Landphone

Email ID

Requirement of

Hostel College Bus

Name of the qualifying Examination ie, SSLC or equivalent

Year of passing

Register No.

No. of chances taken.

Have you passed ITI

Yes No

If pass, trade of study

Upload Certificate

Have you passed VHSE

Yes No

If pass subject

Percentage of mark

Have you passed +2

Yes No

If yes, subject

Percentage of mark

Branch applied for(mark 1-5 in the preference column according to the preference)

Sl. No	Branches
1
2
3
4
5

Grade/Mark Details of the qualifying examination
*Files uploaded should be less than 2mb.Allowed file extension(.docx,.doc,.pdf,.jpg,.png)

No.	Subjects	Certificates
1	SSLC/ VHSE / CBSE/ ICSE
2	OTHER

Place

Aadhar ID

DECLARATION

The information given above are true to the best of my knowledge. If any of the information furnished above is found to be false, I have no objection to forfeit my claim for admission

Name of applicant:

Appling For:

Qualifications :

Degree/Diploma/Plus Two/SSLC	specialization	Year of passing	Percentage	Institution	University

Work Experience in Months:

Last drawn Monthly salary:

Expected salary:

Age:

Date of birth:

Gender:

Marital status:

Religion:

Caste:

Phone (Res.):

Permanent Address:

Mobile No.:

Email ID:

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04922-256240, 258515, smpcpkd@gmail.com

st. mary's polytechnic college

04922-256240, 258515 smpcpkd@gmail.com Login Pay Fee

Placements

Contact us for placements

Simi Wilson
Placement Officer
+91 4922256240
+91 9497715203
placement@sitsac.in
Jojo T Antony
Placement Officer
+91 9544200106

our recruiters

Click Here Admission started for the academic year 2019-20 Click Here

Placements

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