Hostel Registration | Shree Saurashtra Leuva Patel Seva Samaj

Working Women Registration Form

BASIC DETAILS

First Name *

Father Name*

Mother Name*

Surname *

Sub Caste *

Gender *

Mobile Number*

E-mail *

Father Mobile Number*

Mother Mobile Number*

Date of Birth *

Age *

Blood Group *

Permanent Address *

State *

City *

Pincode *

Native Home In Saurashtra/Address *

Village*

District*

Taluka*

Is Physically Challenged *

Special Category*

Aadhar No *

Have You Pan No ? *

Pan No

Passport Sized Photo (max: 800kb,JPG/PNG) *

Leaving Certificate (max: 500KB,PNG/JPG/PDF) *

Aadhar Card (max: 500KB,PNG/JPG/PDF) *

EDUCATIONAL DETAILS

Marksheet Pics (Last Exam-max:500kb)*

Education Category *

Education *

Year of Completion*

Board / University / Institute *

percentage *

JOB DETAILS

Company Name*

Designation*

Work Duration*

Job Timing*

Company Manager Name*

Company Manager Mobile*

Job Appoint Letter (max: 500kb,PNG/JPG/PDF) *

Job ID Card (max: 500kb,PNG/JPG/PDF) *

Address*

* I hereby declare that the details furnished above are true and correct to the best of my knowledge. I shall abide by the rules and regulations of the institute. The institute can use my candidature to recognize the performance of the institute.
(હું જાહેર કરું છું કે ઉપર આપેલી તમામ વિગતો મારી જાણકારી મુજબ સાચી અને યોગ્ય છે. હું સંસ્થાના નિયમોનું પાલન કરીશ તેમજ સંસ્થા મારી કામગીરીનો ઉપયોગ સંસ્થાના પ્રભાવને ઓળખવા માટે કરી શકે છે.)

Confirm your details and then press "CONFIRM SUBMIT" to Register Yourself.

Basic Details

Student's Full Name:
Age:
Permanent Address:
State:
City:
Pincode:
Native Home In Saurashtra:
village:
District:
Taluka:
Is Physically Challenged:

Educational Details

College/School *
Course *
Semester/Standard *

Education Category *
Education *
Percentage *
Year of Completion *

Passport Sized Photo:

Leaving Certificate:

ID Proof:

OTP VARIFICATION

Enter 4 Digit OTP Received On Your Phone And Email.
OTP Is Valid Upto 10 Minutes.
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સરદારધામ વર્કીંગ વુમન (હોસ્ટેલ) પ્રવેશ નિયમાવલી

Basic Details

Educational Details

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