PLEASE PROVIDE THE FOLLOWING DETAILS :

PERSONAL INFORMATION

COURSE APPLIED FOR	:
NAME (SUR NAME FOLLWED BY GIVEN NAME)	:
POSTAL ADDRESS (INCLUDING THE PIN CODE)	:
PERMANENT ADDRESS (INCLUDING THE PIN CODE)	:
DATE OF BIRTH	:	eg:17/04/2000
GENDER	:	MALE FEMALE
NATIONALITY	:
TELEPHONE NO WITH AREA CODE	:
CELL PHONE NO	:
EMAIL	:

---

ADDITIONAL INFORMATION

NAME OF THE PARENT/GUARDIAN:	:
POSTAL ADDRESS OF THE PARENT/GUARDIAN	:
IN CASE OF GUARDIAN PLEASE INDICATE THE RELATIONSHIP TO THE APPLICANT	:
PHONE NUMBER OF THE PARENT/GUARDIAN	:
CELL NUMBER OF THE PARENT/GUARDIAN	:
IF PARENT/GUARDIAN IS EMPLOYED, PROVIDE DETAILS OF HIS/HER EMPLOYMENT	:

---

EDUCATIONAL BACKGROUND :

Name of the college and location (from the most recent)	Period (From - To)	Course	Major subjects studied	Class secured	Percentage

---

WORK EXPERIENCE:(Most Recent First)

Job Title	Company	From	To

AWARDS, MERIT CERTIFICATES, ACHIEVEMENT CERTIFICATES, IF ANY	:
HOW DID YOU COME TO KNOW ABOUT KSOU, AND THE COURSES OFFERED?	:

---

PLEASE PROVIDE THE FOLLOWING DETAILS (FOR FOREIGN NATIONAL ONLY)

Pass-Port No	:
Place of Issue	:
Date of Issue	:	eg:17/04/2000
Date of Expiry:	:	eg:17/04/2000

PLEASE PROVIDE THE VISA PARTICULARS:

Date of Issue of Indian Visa:	:	eg:17/04/2000
Date of Expiry	:	eg:17/04/2000
Type of Visa	:
Visa Number	:
Place of Issue	:

---

PARTICULARS OF COURSE FEE PAID

Amount:	:
Transaction I'd	:
Date	:
Bank	:
Branch	:

---

---

Upload Photograph   :

Upload SSLC Mark Sheet:

Upload Degree Certificate: (Student pursuing a degree program may upload latest marks card)

Signature of Applicant:   

Place   :

Date   :eg:17/04/2000