1. Course Details

Programme / Course Applied For

Mode of Study

Preferred Batch / Session

Duration

2. Personal Information

Full Name (As in 10th Certificate) *

Father's / Husband's Name *

Mother's Name *

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Date of Birth (As in 10th Certificate)

Gender

Nationality

Religion

Category

Blood Group

Aadhar Number

Any Medical Issue? (If yes, describe briefly)

3. Contact Details

Student Mobile Number *

Email Address

Father's Mobile Number

Mother's Mobile Number

Guardian's Mobile Number

Permanent Address *

House / Street / Locality

City / Town

District

State

PIN Code

Correspondence Address

Same as Permanent

House / Street / Locality

City / Town

District

State

PIN Code

4. Academic Record

Examination	School / College Name	Board / University	Year	Roll No.	Subjects Passed	Marks / %	Result

Name of Last University / Board Attended

Registration / Enrolment Number

5. How Did You Hear About Us?

Admission Counsellor Friend / Referral Facebook / Instagram Google Search WhatsApp News Paper / Print Ad Education Fair Former Student Other

Other — Please Specify

6. Documents Enclosed

Tick documents being submitted along with this form (1 original + 3 attested photocopies).

7. Additional Information

Name of Local Guardian (if staying away from home)

Guardian's Mobile Number

Transport Required?

Hostel / Accommodation Required?

Remarks / Special Requirements

8. Declaration & Undertaking

I solemnly declare that the information provided in this form is correct and I have not concealed any relevant facts related to admission.
I shall abide by all the rules and regulations of Treneywann Group as well as any affiliated institution.
I undertake that I have not been disqualified by any Board / University.
I am taking admission provisionally at my own risk and responsibility, subject to confirmation of my eligibility by the institution.
I undertake not to take part in any political activity, agitation, or ragging directly or indirectly in the institute.
I will not use a mobile phone in the class unless permitted. If found guilty, the device may be deposited in the office as per rules.
If at any stage I am declared ineligible and my admission is cancelled, I shall have no claim for refund of fees paid.

I have read, understood, and agree to the above declaration and undertaking.

Place

Date

Treneywann Admission Form