Triveni | Academy

📋 Student Personal Data

Name of Applicant *

Date of Birth *

WhatsApp No *

Email ID *

Aadhaar No *

Blood Group *

Nationality *

Religion *

Mother Tongue *

Marital Status *

Caste *

Sex *

Permanent Address *

Address for Correspondence *

👪 Parents & Guardian Details

Father's Name *

Mother's Name *

Guardian *

Guardian's Name *

Guardian's Occupation *

Whether Physically Handicapped *

Whether Employed *

📚 Academic Qualifications (Marksheet)

Examination	Board/University	School/College	Year of Passing	Max Marks	Total Secured	%
10th or Equivalent
12th or +2
Degree (BA/BSc/BCom)
Post Graduate (if any)
Other Qualification

* Please fill all fields (optional fields may be left blank).

🖼️ Upload Photo & Documents

Passport size Colour Photo *

Click to upload
(within 1MB)

Other Uploads (Optional)

10th Mark Sheet
12th Mark Sheet
Degree Mark Sheet
Aadhaar Card

(Each file within 500KB, images only)

✅ Checkbox Conditions & Declarations

List of Enclosures (check boxes)

Passport size photo (5 copies)

10th Mark Sheet (photo copy)

12th Mark Sheet (photo copy)

Degree Mark Sheet (photo copy)

Aadhaar Card (photo copy)

Migration Certificate (original)

Conduct Certificate (original)

Declaration

I, *, hereby declare that all particulars stated are true to the best of my knowledge.

Date:

Signature:

Undertaking

I undertake to abide by the rules and attend classes regularly.

Date:

Signature:

Anti-Ragging Undertaking

I, S/o D/o agree to the Anti-Ragging regulations.

Date:

Signature:

Address:

Contact Us

E-APPLICATION FORM

📋 Student Personal Data

👪 Parents & Guardian Details

📚 Academic Qualifications (Marksheet)

🖼️ Upload Photo & Documents

✅ Checkbox Conditions & Declarations

List of Enclosures (check boxes)

Declaration

Undertaking

Anti-Ragging Undertaking