| Personal
Details |
| Salutation* |
This is a mandatory field. Please
select the appropriate option. |
| First Name * |
If your
name is Kshitij Mathur, then ‘Kshitij’ is the first name, and
‘Mathur’ is the second name. If you do not usually use a
middle name or do not have a middle name, just leave the field
blank. |
| Middle Name |
If you have a middle name please
fill in your middle name. For example if your full name is
Siva Rajkumar Raghunathan, then fill in ‘Rajkumar’ as
the middle name. |
| Last Name* |
Last name/Surname or family name.
This may often be your father’s name or a common last name in
the family. |
| Date of birth* |
The
format is dd-mmm-yyyy (e.g.19-Feb-1981) |
| Gender * |
Simply
click the relevant button. |
| Religion * |
Simply
Enter your Religion belong to. |
| Caste * |
Simply
Enter your caste. |
| Whether belonging to reservation category |
Simply
click the relevant button. |
| if yes, name the category |
Simply
Enter the Category belong to. |
| Nationality * |
Select your nationality from the drop down. |
| Upload Photo(Only .jpg or .jpeg or .gif formats, Upto 100 KB) |
| Upload Photo* |
Upload your recent photograph. |
| Present
Address |
| Address Line 1 * |
Enter
your door number, apartment number in the address line 1 field. |
| Address Line 2 |
Enter your street address. |
| Address Line 3 |
Enter your locality name. |
| City * |
Enter the city where you are located at present. |
| State * |
Select
the state where you are located at present. |
| Pincode * |
Enter your area pincode (Note:
Fill only numeric characters only (0-9). Do not leave spaces
in between). |
| STD Code * |
Enter the STD code of your
city (For e.g. 0444234522). |
| Phone Number * |
Enter the phone number of your
city (For e.g. 0444234522). |
| Fax |
If you have any Fax number
please fill it in this column. |
| Mobile Number |
Enter your mobile number. |
| Primary Email * |
Please
enter the email address.For e.g. [email protected].
Do not use anyone else’s email address. |
| Retype Primary Email * |
Please retype the Primary Email ID. |
| Alternate Email |
Please
enter the alternate email address. |
| Retype Alternate Email |
Please retype the Alternate Email ID. |
| Is Permanent address same as
Present Address |
If the answer is YES, please
indicate. If the answer is NO, you will have to fill in your
permanent address in the fields that appear. |
| Address Line 1 * |
Enter
your door number, apartment number in the address line 1 field. |
| Address Line 2 |
Enter your street address. |
| Address Line 3 |
Enter your locality name. |
| City * |
Enter the city where you are located at present. |
| State * |
Select
the state where you are located at present. |
| Pincode * |
Enter your area pincode (Note:
Fill only numeric characters only (0-9). Do not leave spaces
in between). |
| Program Name |
| Select the Program * |
Select Appropriate option |
| Details of Entrance Test |
| Name of the Entrance Test* |
Enter name of exam if any. |
| Test Date (e.g. 22-Apr-2013)* |
Enter the date of Exam
here. |
| Roll No./OMR No |
Enter the Roll No./OMR No.* |
| Score* |
Enter your score in Exam. |
| Percentile* |
Enter your Percentile of exam. |
| Family Details |
| Name of Father* |
Enter your Father name. |
Occupation |
Select the occupation of your Parent / Guardian from the drop down. |
| Office Address |
Specify the Current address of your Father. |
| Phone Number* |
Specify their Office Telephone number preceeded with the STD code. |
| Email |
Enter the email address of your Father. |
| Name of Mother* |
Enter your Father name. |
| Occupation |
Select the occupation of your Parent / Guardian from the drop down. |
Office Address |
Specify the Current address of your Father. |
| Phone Number* |
Specify their Office Telephone number preceeded with the STD code. |
| Email |
Enter the email address of your Father. |
| Family Annual Income |
Enter the Family Annual Income. |
| Educational Details |
| X |
| School Name |
Enter the name of the school you studied in. |
| Board / University Name* |
Specify the Board / University. |
| State* |
Enter the state. |
| Year of Passing * |
Select the year of passing from the drop down. |
| Percentage Scored * |
Enter your overall percentage. |
| Main Subjects |
Enter your major subjects. |
| Mode of Study* |
Select the mode of study from the drop down provided. |
| XII |
| School Name |
Enter the name of the school you studied in. |
| Board / University Name* |
Specify the Board / University. |
| State* |
Enter the state. |
| Year of Passing * |
Mention the year in which you passed. |
| Percentage Scored * |
Enter your overall percentage. |
| Main Subjects |
Enter your major subjects. |
| Mode of Study* |
Select the mode of study from the drop down provided. |
| UG Degree |
| Examination type * |
Select the relevant option. |
| Name of degree * |
Enter your degree. |
| College Name |
Enter the college you studied in. |
| Board / University* |
Enter the Board or University. |
| State* |
Enter the state. |
| Year of Passing* |
Mention the year in which you passed. |
| Major Subject / Discipline * |
Enter your major subjects. |
| Mode of Study* |
Select the mode of study from the drop down provided. |
| Total Aggregate % * |
Enter your overall percentage. |
| If the examination type is Semester wise, fill in the following details (applicable for both UG and PG degree) |
| 1 Year/Sem 1 (%/CGPA)* |
Enter your 1st year 1st semester percentage. |
| 1 Year/Sem 2 (%/CGPA)* |
Enter your 1st year 2nd semester percentage. |
| 2 Year/Sem 3 (%/CGPA)* |
Enter your 2nd year 3rd semester percentage. |
| 2 Year/Sem 4 (%/CGPA)* |
Enter your 2nd year 4th semester percentage. |
| 3 Year/Sem 5 (%/CGPA) |
Enter your 3rd year 5th semester percentage. |
| 3 Year/Sem 6 (%/CGPA) |
Enter your 3rd year 6th semester percentage. |
| 4 Year/Sem 7 (%/CGPA) |
Enter your 4th year 7th semester percentage. |
| 4 Year/Sem 8 (%/CGPA) |
Enter your 4th year 8th semester percentage. |
| If the examination type is Year wise, fill in the following details (applicable for both UG and PG degree) |
| 1 Year (%/CGPA)* |
Enter your 1st year percentage. |
| 2nd Year (%/CGPA)* |
Enter your 2nd year percentage. |
| 3rd Year (%/CGPA) |
Enter your 3rd year percentage. |
| 4th year (%/CGPA) |
Enter your 4th year percentage. |
| PG Degree |
| Do you have PG Degree * |
Select the relevent option. |
| Type Of Degree * |
Select the relevant option from the drop down. |
| Name of degree * |
Enter your degree. |
| College Name |
Enter the college you studied in. |
| Board / University |
Enter the Board or University. |
| State |
Enter the state. |
| Year of Passing |
Mention the year in which you passed. |
| Major Subject / Discipline |
Enter your major subjects. |
| Mode of Study |
Select the mode of study from the drop down provided. |
| Total Aggregate % * |
Enter your overall percentage. |
| 1 Year Percentage* |
Enter your 1st year percentage. |
| 2 Year Percentage* |
Enter your 2nd year percentage. |
| Employment History |
| Do you have Work Experience * |
Select the relevant option from the drop down. |
| Name of the Organisation * |
Enter your Organisation Name. |
| Designation* |
Mention your designation in the organisation. |
| From Month/Year * |
Select the date when you joined the organisation. |
| To Month/Year * |
Select the date till you worked in the organisation. |
| Work experience in Months |
Specify your total experience in months. |
Other Details |
Academic interest and purpose of study (Max Character Limit is 1000.
Please use this space to describe your special academic interests and
your purpose and objectives in undertaking study at ALLIANCE) * |
Not exceeding 1000 characters write about your academic interest and purpose of study. |
Please account for break in your academic career, if any.
Please use this space to describe your for break in your academic career. * |
Not exceeding 1000 characters write about the break in your academic career. |
Statement of Purpose .
Please use this space to describe Statement of Purpose. * |
Not exceeding 1000 characters write about the Statement of Purpose . |