🏛️ University Wale

Application for Academic Year

Fields marked with * are mandatory.

1. Name Details * First Name: Middle Name (optional): Last Name/Surname:

3. Gender *

Male Female Transgender

4. Date of Birth * Date: Course

5. Father's Details * Father's First Name: Father's Middle Name (optional): Father's Last Name/Surname:

6. Mother's Details * Mother's First Name: Mother's Middle Name (optional): Mother's Last Name/Surname:

7. Permanent Address * Flat/Door/Block No.: Locality/Area/Street: Town/City/District: Pin Code: State/Union Territory: Country:

8. Contact Details * Email ID: Mobile Number (10 digits):