Swosti Institute of Management and Social Studies
SIMSS -forms

Personal Information

Registered Mobile No.

Email id:

First Name

Middle Name

Last Name

Gender

Male Female

Nationality

Date of Birth

Blood Group

Cast

Mother Tongue

Where Belong to Minority Community?

No Yes

Chronic/serious Illness,if any:

No Yes

Where the Applicant a Single Girl Child of the Parent?

No Yes

Category

General

Contact Information

Present Address

Plot/House No/At

Post

Disrict

Distance From Institute(in KMs

Locality

State

Pin

Permanent Address

Permanent Address is same as Present address

Plot/House No/At

Post

Disrict

Distance From Institute(in KMs

Locality

State

Pin

Detailed Information of Parents

Mother

Name

Qualification

Occupation

Designation

Organization

Office Address

Annual Income(₹)

Tel No (Res)

Tel No

Email

Adhar Number

Father

Name

Qualification

Occupation

Designation

Organization

Office Address

Annual Income(₹)

Tel No (Res)

Tel No

Email

Adhar Number


Declaration


(1) I/ We, hereby certify that the above information is correct to the best of my/our knowledge and belief. If any information is found to be contrary to the facts, the
admission of my/our ward may be cancelled at any stage.

(2) Further, I/We fully understand that filling up this Registration Form does not confirm the admission of the child.

(3) I/We declare that I/We am/are in a position to pay the prescribed fees as finalized by the Institute from time to time.

(4) The name & date of birth of my/our ward as spelt out is correct and I/We shall not request for change at a later stage.

(5) I/We hereby certify that my/our ward and myself/ourself shall follow all the rules, regulations and procedures as laid down by the Institute from time to time.

(6) I/We understand that the decision of the Management of the Institute shall be final & binding on me/us.


Declaration by:
Parents
Legal Guardian (Incase parents arn't alive)

I/We accept all the above Terms & Conditions.