Admission Registration Form - Shree Saurashtra Patel Seva Samaj

S P S S - Surat

"Jamnaba Vidhyarthi Bhavan", Maniben chowk, Valak Patiya Char Rasta, Kamrej Road., Surat

+91 99091 88222

spss.surat@gmail.com

HOSTEL REGISTRATION FORM

ADMISSION BASE:

Admission Base: *

CARRIER PROGRESS

SSC Year of Completion*

SSC Board / University *

SSC Total Marks*

SSC Obtain Mark*

SSC percentage *

HSC/Diploma Year of Completion*

HSC /Diploma Board *

HSC /Diploma Total Marks*

HSC /Diploma Obtain Mark*

HSC /Diploma percentage *

CURRENT EDUCATIONAL DETAILS

Important Instructions:

If you are preparing for Government Exams and have completed your Bachelor’s degree:
- Select ‘Competitive Exam’ under Course Category.
- Choose ‘Other’ as College Name and enter your coaching institute name, library name, or write ‘Self Preparation’ if studying on your own.
- Select ‘1st Semester’ as Current Semester.

Course Name*

College/School Name*

Semester/Standard*

College In Time*

College Out Time*

Last Exam Education Category *

Last Exam Education *

Last Exam Board*

Last Exam Passing Year*

Last Semester Total Marks*

Last Semester Obtain Mark*

Last Semester percentage *

Last semester Marksheet (max:500KB)*

PREVIOUS EDUCATIONAL DETAILS

Education Category *

Education *

Board / University / Institute *

Marksheet Pics (max:500KB)*

Passing Year*

Total Marks*

Obtain Mark*

percentage *

BASIC DETAILS

First Name *

Father Name*

Mother Name*

Surname *

Sub Caste *

Gender *

Mobile Number*

E-mail *

Father Mobile Number*

Mother Mobile Number*

Date of Birth *

Age *

Blood Group *

Permanent Address *

State *

City *

Pincode *

Native Home In Saurashtra/Address *

Village*

District*

Taluka*

Is Physically Challenged *

Absence of Parents*

Aadhar No *

Have You Pan No ? *

Pan No

Upload Documents

SSC (max: 500KB) *

HSC /Diploma (max: 500KB) *

College/School Fee Receipt(max: 500KB)*

Passport Sized Photo (max: 500KB,JPG/PNG) *

Leaving Certificate (max: 500KB,PNG/JPG/PDF) *

Aadhar Card front (max: 500KB,PNG/JPG/PDF)*

Aadhar Card Back (max: 500KB,PNG/JPG/PDF) *

Confirm your details and then press "CONFIRM SUBMIT" to Register Yourself.

Basic Details

Student's Full Name:
Age:
Permanent Address:
State:
City:
Pincode:
Native Home In Saurashtra:
village:
District:
Taluka:
Is Physically Challenged:

Educational Details

CURRENT

College/School *
Course *
Semester/Standard *

Education Category *
Education *
Percentage *
Year of Completion *

Passport Sized Photo:

Leaving Certificate:

ID Proof:

College/School Fee Receipt:

SSC:

HSC:

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Basic Details

Educational Details

CURRENT

PREVIOUS

Register!.. to study in Next Academic Year.

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