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: registrar@sssihl.edu.in

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
Medium of Instruction

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
 Medium of Instruction
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