Application Form

Course Details

School

Programs

Degree

Specialisation

Personal Details

About yourself

First Name

Middle Name (optional)

Last Name

Email ID

Date of Birth

Gender

Blood Group

Mobile No.

Address

Permanent Address

Country

State

City

Pincode

Upload Photo

Profile Image

(Please upload a professional and formal profile picture for your university application. Headshot with clear face, plain background)

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Where can we find you online?

Instagram

Additional Details

Caste Category

Are either of your parents a full-time member of ATLAS SkillTech University?

Select

Disability (Visual, Hearing, Locomotor, Speech/Language)Cognitive/Learning Challenges (ADHD/Dysgraphia/Dyslexia/Dyscalculia/Autism)Physical HealthMental Health

Any other condition that may require special assistance

Declaration by Student on Special Learning Assistance:

I certify that the information submitted by me in support of this application, is true to the best of knowledge and belief. I understand that in the event of any information being found false or incorrect, my admission is liable to be rejected / cancelled at any stage of the program. I undertake to abide by the disciplinary rules and regulations of the institute.

Undertaking by the student

I hereby declare that the above information provided is complete and correct to the best of my knowledge. By Clicking, I accept the T&C and Privacy Policy

Parent Details

Father

Father's Name

Father's Mobile Number

Father's Email Address

Father's Occupation

Father's Organization Name

Mother

Mother's Name

Mother's Mobile Number

Mother's Email Address

Mother's Occupation*

Mother's Organization Name*

If Guardian, Specify Relationship

In case of Guardian, please specify the relationship

Educational Details

10th Grade Details

School Name*

Examination Board*

Year of Completion*

Percentage/Grade Secured*

Marks Secured*

Marks Out of*

Upload 10th Grade Marksheet

10th Marksheet

(Please upload a self-attested copy in PDF, JPG, JPEG, or PNG format. The file size should not exceed 5 MB, and the dimensions should be within 1024 x 768 pixels.)

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12th Grade Details

State*

City*

School Name/Junior College Name*

Academic Stream*

Examination Board*

Year of Completion*

Marks Secured*

Marks Out of*

Percentage/Grade Secured*

Upload 12th Grade Marksheet

12th Marksheet

(Please upload a self-attested copy in PDF, JPG, JPEG, or PNG format. The file size should not exceed 5 MB, and the dimensions should be within 1024 x 768 pixels.)

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Statement of Purpose

Statement of Purpose*

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