Serial No:

Ref No:

Student ID:

Domicile : __________________

Next of Kin: __________________________ Relation : _________________ Contact No: ___________________________

Serial No:

Father Name : __________________________

Father Name : __________________________

Ref No:

NEXT OF KIN DETAILS

How did you know about us ? __________________ (1. Newspaper 2. Bill Board 3. Website 4. Social Media 5. Others)

Any serious illness : ______________________ Blood Group : ______________________

______________________________________________________________________________________________________

Applicant’s Phone No: ___________________________ Cell No: ____________________ Email: _____________________

CAMPUS

PERSONAL INFORMATION