SATHYABAMA UNIVERSITY

STUDENT BIO-DATA FORM

(DEPARTMENT COPY)
Date:

1. Name of the Student :
2. Roll.No : Register Number:
3. Date of Birth :
4. Degree : Branch:
5. Section :
6. Fathers Name :
7. Occupation :
8. Mothers Name :
9. Occupation :
10. School / Polytechnic/College:
11. Exam Passed :
12. Blood Group :
13. Religion :
14. Nationality :




















Students Signature Fathers Signature Mothers Signature




Parents Residential Address: ________________________________________________________________________


Phone No. (with STD /IDS code)______________________________Parents Mobile No._______________________

Parents Office No. (STD/IDS Code____________________________Parents email id: __________________



Affix recent Passport
size colour Photograph
of the Student




Affix recent Passport
size colour Photograph
of the Students Father





Affix recent Passport
size colour Photograph
of the Students Mother

SATHYABAMA UNIVERSITY
CHECK LIST (UG)


ROLL
NUMBER
1 4 S



1. Name :
2. Course :
3. Date of Birth :
4. Date of Admission :
I HAVE SUBMITTED THE FOLLOWING ORIGINAL CERTIFICATES:
S.NO. DETAILS OF CERTIFICATES STATUS*
1. 10
th
Class or equivalent Examination Mark Sheet
2. 10+2 or equivalent examination / Diploma Pass Certificate
3. Transfer Certificate & Conduct Certificate
4. Community Certificate
5. Year of passing 10
th
Standard or Equivalent Examination
6. Year of passing 10 + 2 Standard or Equivalent Examination
7. Year of Passing Diploma Examination (Only for lateral entry students)
*Put Tick mark for the certificates submitted to the office only.

SCRUTINIZERS NAME & SIGNATURE CANDIDATES SIGNATURE













Students signature Fathers Signature Mothers Signature

PERMANENT ADDRESS:



Affix recent Passport
size colour Photograph
of the Student




Affix recent Passport
size colour Photograph
of the Students Father





Affix recent Passport
size colour Photograph
of the Students Mother





FIRST YEAR STUDENT DATA SHEET
(PLEASE ATTACH XEROX COPY OF HSC MARK SHEET OR PREVIOUS DEGREE)




NOTE: 1. TO BE FILLED ONLY IN UPPER CASE LETTERS
2. ITEMS MARKED WITH * TO BE FILLED BY THE DEPARTMENT COUNSELLOR.



NAME OF THE CANDIDATE (in ENGLISH) :____________________________________________
(As found in HSC Mark Sheet)

EXPANSION OF INTIALS IN ENGLISH :____________________________________________


MALE / FEMALE: ___________ NATIONALITY: _______________________________


*NAME OF THE CANDIDATE IN TAMIL :____________________________________________
(As found in HSC Mark Sheet)

EXPANSION OF INITIALS IN TAMIL :____________________________________________


REGISTER NUMBER ROLL NO.


DATE OF BIRTH OF CANDIDATE :


NAME OF THE DEGREE :________________________

NAME OF THE FATHER :________________________


PERMANENT / MAILING ADDRESS OF THE CANDIDATE



_________________________________________________________________________________

_________________________________________________________________________________

___________________________________________PIN CODE:_____________________________


TELEPHONE NO. (WITH STD CODE) : _____________________________________________

MOBILE NUMBER OF THE PARENT :______________________________________________

Email id of the parent :______________________________________________



HODS SIGNATURE CANDIDATES SIGNATURE
D D M M Y Y


Batch: 2014- ____ Department:_________________________Degree:___________________________________



Affix recent passport
size colour photograph

Affix recent
Passport size colour
Photograph of the
Student



SATHYABAMA UNIVERSITY
CHENNAI 600 119

IDENTIFY CARD FORM
(PLEASE WRITE IN CAPITAL LETTERS)


1. NAME :

2. ROLL NUMBER :

3. BOARDING POINT :

4. DATE OF BIRTH :

5. BLOOD GROUP :

6. PHONE NO :

7. BATCH :

8. ADDRESS :

.

.

.



SIGNATURE OF THE STUDENT