Admission | Institute of Social Reform & Technology (ISRT)

Institute & Course

Institute Name * Center Code * Admission Date *

Course * Batch Timing Mode

Student Details

Full Name * DOB * Gender Blood Group

Nationality Religion Category

Address

Village * P.O. (Post Office) * P.S. (Police Station) *

City State District Pincode

Contact Details

Mobile * Alternative Mobile * Alternative Mobile Whatsapp Number Email

Parent / Guardian

Father's Name * Father's Occupation

Mother's Name Mother's Occupation

Guardian Name Guardian Mobile *

Educational Qualification

Qualification Board/University Year Percentage

Documents

Photo (JPG/PNG/PDF, max 2MB) Signature (JPG/PNG/PDF, max 2MB) Aadhar ID (JPG/PNG/PDF, max 2MB) Madhamick Admit (JPG/PNG/PDF, max 2MB) Madhamick Marksheet (JPG/PNG/PDF, max 2MB) Madhamick Certificate (JPG/PNG/PDF, max 2MB) Caste Certificate (JPG/PNG/PDF, max 2MB)

Payment Details

Total Fee Paid Amount Due Amount

Payment Mode Transaction ID Transaction ScreenShot

Declaration

I hereby declare that the above information is true to the best of my knowledge and I agree to abide by the rules & regulations of the Institute.

Date Place

I Accept

I.S.R.A.T

ADMISSION FORM

Institute & Course

Student Details

Address

Contact Details

Parent / Guardian

Educational Qualification

Documents

Payment Details

Declaration

ADMISSION FORM

Institute & Course

Student Details

Address

Contact Details

Parent / Guardian

Educational Qualification

Documents

Payment Details

Declaration

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