ILSASS 
      ILSASS ONLINE ADMISSION FORM
                                      
                   Year:                                  
Select Your Stream:
     Select Main Subject:
   STUDENT DETAILS  
        Student's Name:
(As per Last Marksheet Only)
 State:
 Address for Correspondence:    Email Address:  
 Contact Number:
 Mobile Number:  
 City:  Pincode:  
PERSONAL DETAILS
 Date of Birth:
(dd-mm-yyyy)

 Caste:
 Mother Tounge:  Nationality:
 Gender:  Blood Group:
 Religion: Passport No:
Passport Issuing Authority: Passport Expiry Date:
(dd-mm-yyyy)

FAMILY DETAILS
 Father's Guardian's Full Name:  State:
 Permanent Address:
   Email Address:  
 Parent's Mobile Number:  
Occupation:
 City: Annual Income in Rs:
 Pincode:    Office Contact No:
ACADEMIC DETAILS
SSC
 SSC School Name:  Name of the Examination Board:
 Seat No:    School No:
   Address:  Marks Obtained:  
 Total Marks:  
 Month -Year of Passing:

 Percentage / CGPA:
HSC
 HSC School Name:  Name of the Examination  Board:
Seat No: School No:
 Address:  Marks Obtained:  
 Total Marks:  
 Month -Year of Passing:

 Percentage / CGPA:
GRADUATION
 Degree:  Name of University:
 College Name:  Marks Obtained:  
 College Address:  Total Marks:  
 Percentage / CGPA:
 Month -Year of Passing:    Seat No:
 
 Class:                 
         
IMPORTANT NOTES
UNDERTAKING

 
 
INSTITUTE OF LANGUAGE STUDIES AND APPLIED SOCIAL SCIENCES
(A Self-Financed English Medium College, Affiliated To Sardar Patel University)
Bhikhabhai Saheb Building, Opp. ICICI Bank, Nr. Bhaikaka Statue, Mota Bazaar,
Vallabh Vidyanagar 388120, Dist. Anand, Gujarat, India.
Contact No: 02692-230190, 229551 Mobile (Principal Dr.Sunny Thomas): +91- 9427403810
Email ID: principal.ilsass@gmail.com Website: www.ilsass.edu.in
Copyright © 2016, ILSASS, All rights reserved Developed By: Mr.Arpan Raval (ILSASS)