Admission

Sreenivasa Institute of Technology and Management Studies

Dr.Visweswaraiah Road (Bangalore-Tirupathi
Bye-pass Road),Murukambattu,
Chittoor – A.P.-517 127.

Admission for M.Tech Sponsorship Quota Application

Appln No.

Name of the Candidate

Sex

Female Male

Date of Birth *

(MM /DD /YYYY)
*Write Date of Birth as it is in the SSLC / 10th Stand Marks Card

Age

Father's Name

Occupation

Designation

Annual Income

Mother's Name

Occupation

Designation

Annual Income

Address for Correspondence

Address Line 1

Address Line 2

City

State

Country

Pin Code

Residence Phone #

Office Phone #

Mobile Phone #

E-mail #

Permanent Address

Address Line 1

Address Line 2

City

State

Country

Pin Code

Residence Phone #

Office Phone #

Mobile Phone #

E-mail #

Name of the Local Guardian

Relationship with guardian

Address of the Guardian

City

State

Country

Pin Code

Residence Phone #

Office Phone #

Mobile Phone #

E-mail #

Mother's Tongue

Native State

Minority Status

Religious Linguistic, If Yes, Specify