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 2008
       course :                     Date :
      * PERSONAL DETAILS :
    * Name :
     
  Last Middle First
     * Date of Birth :
     Age :
 Nationality :
    * Father's / Guardian   Occupation :
   * Permanent       Address :
City :
State :
Country :
Pin :
       Tel No. :
     (with STD code)
(R)    
(O)    
Mobile :  
     * E-mail :
     * Qualifying Examination : CAT / XAT / MAT / ATMA / CET / SAT / other if any (specify) :

        Composite Score:                                    Percentile:
     * EDUCATIONAL INFORMATION :
Exam
Degree Name Name of College/Institute/University Year of completion Marks in %
SSC (10 th)
 . 
HSC (12 th)
 . 
Graduation - mention specification e.g.: B.E.(mech.)
 . 
Post Graduation
 . 
Any other
 . 
      Work Experience: ( Please fill the table below starting from your Current Job )
Organization
Destination
Tenure(months)
     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 / Post graduate Marksheet
                                                 2. Copy of Entrance Score Card

     Note : This is only a enquiry form for admission. For admission, kindly purchase a prospectus & admission form by paying a demand draft of
                 Rs. 1000/- in favour of " Suryadatta Education Foundation", payable at Pune.
    Remark : Send Hard or Soft copyalongwith respective enclosure.

   Prerequisites : 1.End User Name & Email ID should be known.