International Students Admission - Registration FormInternational Students Admission - Registration FormInternational Students Admission - Registration FormInternational Students Admission - Registration Form
International Students Admission - Registration Form
* are required fields.
Application For:
* Degree :
* Branch :
* Category of Admission : FN PIO CIWGC

Personal Details
* Name in Full : (Block Letters Only)
* Name of the Parent/Gaurdian :
* Parents Occupation :
* Date Of Birth : (dd/mm/yyyy)
* Sex :
* Nationality :

Permanent Communication Details
* Address :
* City :
State :
* Country :
* Phone :
* Email :

Local Gaurdian Details
Address :
City :
State :
Country :
Phone :
Email :

Passport Details
Note: For Nepal and Bhutan students they can enter either Citizenship Card No or Passport Details. Others must enter their Passport Details.
* Citizenship Card No :
[OR]
* Passport No :
* Date of Issue : (dd/mm/yyyy)
* Date of Expiry : (dd/mm/yyyy)
* Place of Issue :

Visa Details
Visa No :
Date of Issue : (dd/mm/yyyy)
Date of Expiry : (dd/mm/yyyy)
Place of Issue :

Qualifying Examination Details
* Exam Passed/Appeared :
* Name of Institution :
* Board of Examination :
* Year of Passing :
* % of Marks Scored/Anticipated :
% Marks Scored in Physics :
% Marks Scored in Chemistry :
% Marks Scored in Mathematics :
* Medium of Instruction : Others

Other Details
* Mother Tongue :
Vaccination Details :
* Whether Hostel Accommodation required :

DECLARATION BY THE APPLICANT

I hereby declare that all the particulars stated in this application and enclosures, are true to the best of my knowledge and belief. I have read the Information Brochure and I shall abide by the terms and conditions therein. I understand that my admission will be provisional and in the event of my being found ineligible at the time of admission, I will be denied admission and, if already admitted my admission will be cancelled. I also understand that in all matters concerning admission, the decision of the Anna University is final and I shall abide by it.

* Place :
  Date : 6/2/2012
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