AVANI INSTITUTE OF DESIGN

Part 1A

Please read the Instructions before proceeding with the Application Form.

Full Name*

Date of Birth*

Email*

Mobile Number*

Gender*

Alternate Mobile Number*

Religion

Mother Tongue*

Caste

Father's name*

Blood Group

Father's Mobile Number*

Identification Mark*

Father's Email*

Permanent Address*

Father's Occupation*

Mother's Name*

Mother's Mobile Number*

City*

Mother's Email*

District*

Mother's Occupation*

State*

Guardian’s Name

Country*

Guardian’s Relationship with the applicant

Pincode*

Guardian’s Mobile Number

Correspondence Address

Guardian’s Email

Guardian Occupation

Parent Annual Income*

SSLC Board*

SSLC Month and Year of completion*

SSLC Total Marks secured*

SSLC Register Number*

SSLC Maximum Marks*

Name of Institution*

Incorrect or incomplete applications shall not be accepted.

Please check the detail before proceeding to Part 1B.Once submitted , they cannot be altered