How to apply

How to Apply?

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Full Name in block letters (as it appears on your educational Certificates)

Gender

Date of Birth

Age as on 01-01-2024

Place of Birth

Nationality

Passport No.

Religion

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Name of Father

Occupation of the Father

Occupation of the Mother

Annual income of the family

Degree you are interested in Rajagiri

Degree interested at the proposed university

Foreign languages known

Educational & Professional Qualifications, Matriculation and SSLC onwards.

Examination Passed

Name of Institution/ University

Year of Passing

Percentage of aggregate marks

Specify the results of last held examination (Percentage total)

Is there any year gap during studies. Specify the reason (if any)

Proposed university and country where you intend to visit

Do you have any relatives in the proposed country: (specify with family details & profession)

Extracurricular Activities

Address

Permanent Address

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Address for Correspondence

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

E-mail

Tel. No. (with STD codes)

Mobile No.

Give reference of your parent/s

Name

Signature (300px Width 80px Height) Max. image size: 50KB

Contact Number

Do you have any serious medical problem

Submit the attested copies as attachment which can be considered as age, education & residence proof (following can be produced for the above – Passport, Voters identity card etc.)

Your Contribution in the following levels

Academic Level

Cultural Level

DECLARATION

I here with declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I assure that I will not withdraw from the programme If I get selected.