Admission Form - AIOSAT - American Institute of Science & Technology

Admissions

High School
Fill the Application Form
First Name:		Middle Name:		Last Name:
SSN No (for US citizens only):		Citizenship:
E-mail:
Address:Line 1*		City:
Address:Line 2		City:
State:		Country:
Zip Code:
Permanent Address:		City:
State:		Country:
Zip Code:
Date Of Birth:		Telephone No (Home):
Telephone No (Workplace):		Mobile No:
Sex	Male Female


Board/University	Institute	Address of Institute	Phone No of Institute	GPA	Start Date	End Date

Qualifications

Degree	Board/University	Institute	Address of Institute	Phone No of Institute	GPA	Start Date	End Date







Other Qualifications

Course	Institute	Period of Course	Percentage/Grade







Work Experience

Company	Designation	Responsibility	Description	Month/Year From	Month/Year To







Awards, Honours & Achievements:
Any Extra Curricular Activities:

Reference Name 1		Reference Name 2
Payment Type	Cheque/DD	Credit Card

Payment Details for Cheque/DDs

DD No./Cheque No.		Bank
Amount		Date

I certify that the above is true to the best of my knowledge. I further understand that if it is discovered that the above information is false, I will be disqualified from AIOSAT and permanently barred from registering at AIOSAT. The application and other fees will not be returned.

For questions and comments mail to: