SRM

UGC Entitled Online Degrees

Applicant-Form

Applicant Form (Jul / Aug 2024 Admission)

Name of the Learner/Applicant*

Programme*

Application Number (sample: 232114841)

Electronic Receipt Number* (sample: OLNTIN24/0012642)

Registered Contact No*

Alternate Contact No

Alternate Mail ID

Counsellor Name*

Counsellor Contact No*

Type of Issue*

Upload your supportive Document* (PDF/Doc/Docx/Jpg/Jpeg/Png only)