sivas.in

Online Enquiry Form

Fields with * are mandatory

Any Graduate / Student who have appeared for final year Graduation may apply
Application for: (Please tick in respective box)

Sir, I herewith apply for admission to the following course in the academic year 2011.

*Note : Please add NIL for fields which are not applicable.

Course :

* PERSONAL DETAILS :

* Name :


Last	Middle	First

* Date of Birth :

Nationality :

* Father's / Guardian Occupation :

*Permanent Address :

Tel No. : (with STD code)

(R)
(O)

Mobile :

* E-mail :

* Qualifying Examination : CAT / XAT / MAT / ATMA / CET / other if any (specify) :

Composite Score : Percentile :

EDUCATIONAL INFORMATION :

Exam

Year of completion

Marks in %

* SSC (10th)

* HSC (12th)

*Graduation/Previous Year - mention specification e.g.: B.E. (mech.)

Any other

Work Experience: ( Please fill the table below starting from your Current Job )

Organization	Destination	Tenure (months)

Preferred Location for GD/PI :

How did you come to know about SURYADATTA :

Print Media

Friends

Website

Exhibition

Other Source Pls Specify

Any other details (Please specify) :

Copies to be attached : 1. Copy of your Graduation / Previous Year Marksheet
2. Copy of Entrance Score Card

Note : This is only a enquiry form for admission. For admission, kindly purchase a Prospectus & Application form. Prospectus & Application form can be obtained from Corporate office / select centers of IMS/Career Launcher / Cerebral Heights on payment of Rs. 1,200/- by Demand Draft in facour of Suryadatta Education Foundation, Payable at Pune OR Downloaded form can be sent along with Demand Draft of Rs. 1200/- in favour of "Suryadatta Education Foundation" , payable at Pune.

Remark : Send Hard or Soft copyalongwith respective enclosure.