Student Information

    Full Name

    Roll Number

    Date of Birth

    Age

    Email id

    Phone

    Nationality

    Gender

    Enrollment Details

    Program

    Department

    Class & Section

    Admission Type

    Year of Study

    Semester

    Latest CGPA / Percentage

    Socio-Economic Category

    Category

    Are you from a Religious Minority?

    If yes, Specify

    Are you a Person with Disability (PWD)?

    If Others, Specify

    Family Details

    Father's Occupation

    Mother's Occupation

    Annual Family Income

    Quality Education Support for SEDGs Offered by the Institute

    Academic / Remedial Support

    Do You Require any Bridge/Remedial Courses to help You Prepare for Your Course?

    If yes, Please Specify the Areas where you need Support

    Do You Require any Additional Academic Support (e.g., Tutoring, Study Groups, Mentorship)?

    If yes, Please Specify The Areas where you need Support

    Inclusivity Support

    Do You Require any Special Accommodation for inclusive participation in Academic/Co-curricular/Extracurricular Activates (e.g., Accessible Facilities, Assistive Technology)?

    If yes, Please Specify The Areas where you need Support

    Financial Support/Scholarships

    Are you interested in Applying for Financial Support or Scholarship base on your Socio-Economic Status?

    If yes, Please Specify The type of Scholarship or Financial aid you would like to apply for :

    If Others, Please Specify

    Earn While Learn Scheme

    Are you interested in participating in the Earn-while-Learn Scheme offered by the Institute (on-campus or project-based work opportunities)?

    Any suggestions or expectations from the SEDG Cell

    Psychological Support

    Would you like to register for Psychological Support Services (e.g., Counseling, Stress Management, Emotional well-being)?

    If Yes, Please Specify the Kind of Support you are Seeking :

    Personality and Skill Development

    Are you Interested in Personality Development Programs or Skill Development workshops(e.g., Communication Skills, Leadership, Time management, Industry-Oriented Skills)?

    If Yes, Please Specify :

    Any Other Relevant Information You Wish to provide Regarding your Academic or Personal background for receiving Support

    Contact Information

    Preferred Mode of Communication

    Please Provide a brief Statement describing why you belong to the Socio-Economically Disadvantaged group and how receiving assistance would benefit your Academic journey