:: St. Aloysius Pre-University College, Harihar ::

1.Name of the Student in English as entered in SSLC marks card (CAPITAL LETTERS ONLY).

2.a)Date of Birth

Gender

2.c)Place of Birth

State

District

Taluk

3.a)Nationality

b)Religion

c)Caste

d)Sub-caste

Student's Permanent Address

Student's Local Address

Tel/Mobile No

Aadhar No

5.Father's Name

Mother's Name

6. Address of the Parents/Gaurdian

7.Parents /Guardian Annual Income

Is Income Certificate enclosed yes/ No

8. Name and Adress of School/College Last Studied

9.Particulars of SSLC /equivalent examination passed

Reg no

Year

Month

10.If whether Physically challenged/Blind/Mentally chanllenged

Documents Enclosed Yes/NO

Medium

Result

Percentage of Marks

12. Participation in Sports/ Extra Curricular activities

Subjects Languages and Combination in the PU Course

PART I

PART II

Medium of instruction in PU Course.

Admission Form