Application from 1 – Sambhram Group

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MENUMENU

Home
About
Admissions
Colleges
Courses
- SAMBHRAM INSTITUTE OF TECHNOLOGY
- SAMBHRAM ACADEMY OF MANAGEMENT STUDIES
Facilities
Placements
Contact
International Students
Gallery
IQAC & NAAC

ONLINE ADMISSIONS

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Application Form

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Name *

First

Last

Date of Birth//

Sex

Male
Female

Programs

Please fill in the form using ballpoint pen only. Tick the course you wish to apply for circle the specialization applicable.

Ph.d

Doctor of Philosophy : ECE/ME/business Administration/Physics/Mathematics

Post Graduate

Master of Business Administration (MBA) - VTU
Master of Business Administration (MBA) - BU
Master of Computer Application(MCA) - BU
Master of Commerce (M.Com)

M.Tech

Digital Electronics and Communication
Civil
Computer Science
Mechanical

M.Sc. Nursing

Medical Surgical Nursing
OBG
Community Health

Undergraduate

Bachelor of Engineering

ECE
CSE
ISE
MECH
CIVIL

Bachelor of Business Admiration (BBA)

Bangalore
Kgf

BBA with Aviation

yes

Bachelor of Computer Application (BCA)

Bangalore
Kgf

Bachelor of Commerce (B.Com)

Bangalore
Kgf

Bachelor of Hotel Management (BHM)

yes

Bachelor of Dental Surgery (BDS)

yes

B.Sc. Nursing

yes

Others

General Nursing & Midwifery (GNM)

yes

Diploma in Hotel Management

yes

STUDENT INFORMATION

Name *

First

Last

Date of Birth //

Sex

Male
Female

Place of Birth

Home State

Mother tongue

Nationality

Religion

Caste

Phone

Email *

Fax

Parent / Guardian information

Father Name *

First

Last

Mother Name *

First

Last

Guardian Name *

First

Last

Relationship

OccuPATION

Annual Income

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Fax

Email

Local Contact Information

Name *

First

Last

Relationship

Occupation

Annual Income

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Fax

Email

Extra Curriculum Activities (Details of Sports and extracurricular Activities )

Recognition achieved at ( enclose photocopies of certificates , if any )

National Level
State Level
Intercollegiate Level
Others

Others (Please specify)

Your Career Objective

(In a concise paragraph tell us how your career objectives will be served by your course at Sambhram)

Hostel Accommodation

Yes
No

How did you hear of Sambhram?

Recommended by Friend / relative
Recommended by academic staff / student
Exhibition / Seminar
Direct Enquiry
Newspaper Advertisement
Sambhram Website
Institute representative
Other (Please specify)

Copies Of Annexure Enclosed ( Attach 2 sets of attested photocopies)

Class X / Equivalent Marks Card
Class XII / Equivalent Marks Card
Graduation Marks Card
PDC/Degree Certificate
Transfer Certificate
Medical Fitness Certificate
Bio Data
2 Letter of recommendation
8 recent colour passport size photographs
Migration certificate ( for Non Karnataka Students only )
Caste certificate ( in case of SC/ST/CAT 1 students only)
Validity Certificate (in case of SC/ST/CAT 1 students only)
HIV Clearance certificate*
Equivalence certificate* ( From AIU , Delhi )
No Objection Certificate*(NOC) (From MHRD/Delhi )
Passport & visa *

Declaration :

I,

The Candidate seeking admission to the Sambhram Institutions

Program,Solemly declare that I will strictly aide by the rules and regulations in force and those that may be framed hereafter , and will not indulge in any unsocial , antinational activities , I will avoid any act of indiscipline and reach of rules . I further agree to reimburse any damage of furniture, apparatus, etc. which may be caused by carelessness or wantonness on my part.

Date / Time//

Place

upload ur passport size photograph *

Click or drag a file to this area to upload.

CONTACT US

Address : Sambhram Group of Institutions, M S Palya, Via Jalahalli East, Bangalore 560097 INDIA
Email : admissions@sambhram.org
Phone number : +91 - 8884440085/ 9449040708 / 9243458493

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