Online Admission Form 2019-20

Academic Details & Basic Information

Career *

Course Interested *

Referral Source *

First Name *

Last Name *

Date of Birth * Enter Date in (yyyy-mm-dd) Format

Admit Type *

Gender *

Hostel Required? * Yes No

Contact Number *

Address Line1 *

Country *

City *

Email ID *

Address Line2

State *

Zip Code *

Guardian Name*

Alternate Number

Relationship *

I certify that the information given on this application is complete and correct to the best of my knowledge.

NOTE: If you encounter any problem while filling this application form, call us at 1800-102-6004 or send an email to admissions@srmu.ac.in