Name of the student

EMIS number Date of birth Gender Email ID Mobile No

*

Esther sofia.E 10/14/2000 Female Esther14102000@gmail.com 6383560034

 Phone number
Aadhaar number
Religion Community Caste Blood group (student, if
(student)
available)
Christian Adi Dravidar Christian Bc 593-38587074 Abpositive 6383560034
 STUDENT'S INFOR

Nationality
Permanent address Communication address
(INDIAN/FOREIGN)

No:1kii road bernicepuram katpadi vellore No:1 kii road benrnicepuram katpadi vellore Indian
 STUDENT'S INFORMATION

Parent / Spouse /
TN/Other State Mother's
Father's Name Father's occupation Mother’s name Guardian Mobile
(if Indian) occupation
number
Tamil nadu Emmanuel David Ac supresivisor Thabithal Jayanthi Staff nurse Parent
 Annual Family Differently abled Type of differently Disability
Orphan (Yes / No) Guardian name
income (Yes/No) abled percentage

No No 90 thousand No No No
Disability ID Special Category of
First graduate Student Name As in
card (UDID / Student (Sports / Ex- 1 Branch Name
(Yes/No) Bank account
State) servicemen )
No No No Esther sofia Union bank Katpadi
 OTHER DETAILS

Hostel type (Free /

Account Number IFSC code Hosteller (Yes/No)
Paid)

23181201000237 UBINO823180 Yes Paid