APPLICATION FORM FOR UG ADMISSIONS 2019 - 2020
Email address *
B.E / B.Tech / B. Com / B.B.A / B.Sc / B.A
ELIGIBILITY
1. Applicant should be a person with disability.
2. Applicant should have been born on or after 2000
3. For engineering courses, applicant should have passed HSC (10+2) or its equivalent exam in 2018 or after with Mathematics, Physics and Chemistry.
4. For B.Com, applicant should have passed HSC (10+2) or its equivalent exam in 2018 or after with Mathematics, Economics and Commerce.
5. Applicant should have good English communication skills.
Completed application form to reach ABILITY FOUNDATION on or before Wednesday 15th May 2019
1. SELECTION OF COURSE
a. COURSE APPLIED FOR
b. SUBJECT SPECIALISATION
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2. PERSONAL DETAILS
a. NAME :
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b. DATE OF BIRTH
MM
/
DD
/
YYYY
c. GENDER
d. BLOOD GROUP
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e. NATIONALITY
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f. COMMUNITY
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g. RELIGION
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3. DETAILS OF DISABILITY
A. NATURE OF DISABILITY
b. Please give details of your disability in not more than 50 words
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4. FATHER / GUARDIAN'S NAME
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5. FATHER / GUARDIAN'S OCCUPATION
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6. MOTHER / GUARDIAN'S NAME
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7. MOTHER / GUARDIAN'S OCCUPATION
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8. ADDRESS FOR COMMUNICATION
ADDRESS
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CITY / DISTRICT
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PIN CODE
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STATE
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9. PERMANENT ADDRESS
ADDRESS
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CITY / DISTRICT
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PIN CODE
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STATE
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10. TELEPHONE NUMBER (with STD code)
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11. MOBILE NUMBER 1
*
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12. MOBILE NUMBER 2 (Father / Mother / Family)
*
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13. E-MAIL ID
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14. DETAILS OF EXAMINATION PASSED - CLASS XII OR EQUIVALENT EXAM DETAILS
a. QUALIFYING EXAM
MEDIUM OF INSTRUCTION
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MONTH / YEAR OF PASSING
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TOTAL PERCENTAGE
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NAME OF SCHOOL
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ADDRESS OF THE SCHOOL
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