Admission Form

College

SRMSCET Bareilly SRMSCETR Bareilly SRMSCET Lucknow

Personal Information

Applicant Name

Email

Father Name

Father Profession

Mother Name

Annual Income

Date of Birth

Gender Male Female

Status Married Unmarried

Nationality

Permanent Address

Address

Pin Code

Mobile Number

State

If Mailing Address same as Permanent Address

Mailing Address

Address

Pin Code

Mobile Number

Educational Detail

Course	Roll No	School/College	Marks(%)	Passing Year
Class X^th
Class XII^th
Graduation/Diploma
Other

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