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SREC Admissions 2021
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* Indicates required question
Email
*
Your email
STUDENT NAME
*
Your answer
Roll number
*
Your answer
Date of Birth
*
Please read carefully the Date and Month order and fill appropriately.
MM
/
DD
/
YYYY
Gender
*
Male
Female
Nationality
*
INDIAN
Other:
Aadhaar Number
*
Your answer
Name of the Father
*
Your answer
Father's Occupation
Your answer
Name of the Mother
*
Your answer
Mother's Occupation
Your answer
Family Annual Income (Both Father and Mother)
*
Your answer
Community
*
Choose
OC
BC
BCM
MBC
DNC
SC
SCA
ST
Religion
*
Choose
Hindu
Christian
Muslim
Other
Mobile Number (Student)
*
Your answer
Father's Mobile Number
*
Your answer
Mother's Mobile Number
*
Your answer
Student EMail ID
*
Your answer
Parent's EMail ID (If any)
Your answer
State which belongs to
*
Tamilnadu
Kerala
Karnataka
Andhrapradesh
Telungana
Maharastra
Other:
Required
Address Line 1
*
Your answer
Address Line 2
Your answer
District
*
Your answer
Pincode
*
Your answer
Area of Residence
*
Choose
Urban
Rural
Blood Group
*
Your answer
Orthopedic (Handicapped)
*
Choose
Yes
No
Is Hostel accommodation required
*
Choose
YES
NO
Is College Bus required
*
Yes
No
If yes (Location Needed)
Your answer
Last Transfer Certificate Number
*
Your answer
Last Transfer Certificate Date
*
Please read carefully the Date and Month order and fill appropriately.
MM
/
DD
/
YYYY
Last Studied
*
Choose
HSC
Diploma
Under Graduate
Admitted in
*
Choose
I Year
Lateral Entry (II Year)
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