Form No

Date

Course --Select-- BFDBHMBTTMMSW

Session --Select--

Branch --Select-- OASIS(BLS)

Student Name

Caste --Select-- General ST SC SEBC OBC MINORITY PH Other

Gender --Select-- Male Female

Payment Mode --Select-- Scholarship Self Payment

Father Name

Mother Name

Date Of Birth(As Per 10th Certificate)

Years

Months

Days

Father Occupation

Regd. Mobile No

Email

Guardian Contact No

Local Guardian Name

Religion

Last educational Institude

Blood Group

Student Residence --Select-- Hosteler Non Hosteler

Photo

Hostel Name --Select-- OASIS BOYS HOSTELOASIS GIRLS HOSTEL