PG Application Form - Men

Sri Sathya Sai Institute of Higher Learning
(Deemed to be University)
Vidyagiri, Prasanthinilayam – 515 134

Ananthpur District, Andhra Pradesh
Website: www.sssihl.edu.in Email: [email protected]
APPLICATION FOR ADMISSION TO POSTGRADUATE PROGRAMME
LAST DATE FOR SUBMISSION – 15 MAY 2021
Select course from the list Select Program
Applicant ID
Please fill Applicant ID without fail
DU Ref. Number
Payment transaction number of SB Collect
PERSONAL DETAILS
Applicant Name
Gender Male Date of Birth
Place of Birth
Country of Birth
Place of Residence
Nationality
Email ID
PERMANENT ADDRESS
Address Line 1
Address Line 2
State Pincode
Country Mobile
PRESENT ADDRESS
Address Line 1
Address Line 2
State Pincode
Country Mobile
Name of Father /
Guardian
Occupation/Employment
Name of the organisation
where employed
Annual Income
Mother’s Name
Occupation/Employment
Name of the organisation
where employed
Annual Income
Mother Tongue
Religion
Community Select Community

Enclose self-attested copies of the Caste Certificates in case of SC / ST
SECONDARY / HIGHER SECONDARY SCHOOL LEVEL
X Std. XII Std.
Name of School
Address of the School
Medium of Instruction
Board of affiliation
Year of Passing
% General English % General English

Statement of Marks
% Aggregate / GPA % Aggregate / GPA
BACHELOR’S LEVEL
Name of University
Name of College/Institution
Address of the
College/Institution
Name of the Degree & Subjects
Years of study From To
Statement of Marks (3 or 4-year programme) / Year or Semester System – fill in

either one
YEAR System Year 1 Year 2 Year 3
Marks Out of Marks Out of Marks Out of
Gen. English
Aggregate / GPA
Equivalent
percentage of
CGPA or Aggregate %
Grade obtained
of all years of study
(for those who
(Yr1+Yr2+Yr3)
with grading
system)
SEMESTER System Sem 1 Sem 2 Sem 3 Sem 4 Sem 5 Sem 6
Gen. English
Aggregate / GPA
Equivalent
percentage of
CGPA or Aggregate % Grade obtained
of all years of study (for those who
with grading
system)
Self-attested copies of Statement of Marks must be enclosed
MASTER’S LEVEL (Only if applicable)
Name of University
Name of College/Institution
Address of the
College/Institution
Name of the Degree
Specialization
Years of study From To
Statement of Marks (2-year programme) / Year or Semester System – fill in either one
Year 1 Year 2
YEAR System
Marks Out of Marks Out of
Gen. English
Aggregate / GPA
CGPA or Aggregate % of all years of study
SEMESTER System Sem 1 Sem 2 Sem 3 Sem 4
Gen. English
Aggregate / GPA
CGPA or Aggregate % of all years of study

Self-attested copies of Statement of Marks must be enclosed
Have you applied for admission to this institute

Yes No
before? If so, furnish the particulars below.
Course Year when admission was sought
Have you now applied elsewhere for admission?

Yes No
If so, furnish the particulars below.
Course University / College Date of admission test

ADDITIONAL PARTICULARS
Extra-curricular activities:
Indicate below with tick mark, the extra-curricular activities you have participated in:
Quiz Photography Games Dramatics
Yoga Music - Vocal Debates

Music -
Dance Painting
Instrumental
Mention your achievements, if any, and the awards of honours received:
Have you ever been a member of any Sri Sathya Sai Organisation? If so, give particulars.
Balvikas From To
Pre-Sevadal From To
EHV
From To
Programme
Sevadal From To
If applicable, list below the details of your parent(s), own brother(s) and/or sister(s) who have studied or
are studying in any of the campuses of Sri Sathya Sai Institute of Higher Learning or the Sri Sathya Sai
Higher Secondary School, Prashanthi Nilayam
Name Programme / Std. Duration of Study
DECLARATION BY THE APPLICANT
I hereby declare that all the particulars given above me are true to the best of my knowledge.
I further declare that I have read the admission prospectus, and that if I am admitted, I shall abide
by the terms and conditions stated therein.
I assure that if I apply to any other institution/university after preferring this application, I shall
inform the same to the Interview Board of the Institute at the time of interview.
I undertake not to apply for any other course, after joining the institute, without prior permission of
the Head of the Campus of the Institute.
Name of the applicant
DECLARATION BY PARENT / GUARDIAN
I certify that all the above information provided is correct, and I bear the responsibility of
withdrawing my son/daughter/ward from the Programme after admission, if any of the information
given above is found to be incorrect.
Name of Parent/Guardian

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Sri Sathya Sai Institute of Higher Learning

Vidyagiri, Prasanthinilayam – 515 134

APPLICATION FOR ADMISSION TO POSTGRADUATE PROGRAMME

LAST DATE FOR SUBMISSION – 15 MAY 2021

Select course from the list Select Program

Gender Male Date of Birth

Community Select Community

SECONDARY / HIGHER SECONDARY SCHOOL LEVEL

X Std. XII Std.

Address of the School

% General English % General English

Name of the Degree & Subjects

Years of study From To

Statement of Marks (3 or 4-year programme) / Year or Semester System – fill in

Marks Out of Marks Out of Marks Out of

MASTER’S LEVEL (Only if applicable)

CGPA or Aggregate % of all years of study

SEMESTER System Sem 1 Sem 2 Sem 3 Sem 4

CGPA or Aggregate % of all years of study

Have you applied for admission to this institute

Course Year when admission was sought

Have you now applied elsewhere for admission?

Course University / College Date of admission test

Quiz Photography Games Dramatics

Yoga Music - Vocal Debates

Mention your achievements, if any, and the awards of honours received:

Name of the applicant

DECLARATION BY PARENT / GUARDIAN

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