St. Xavier's College
EXCHANGE STUDENT'S REGISTRATION FORM
Home University/College/Institution *
STUDENT INFO (Please fill your details as per your Passport)
Name : *        
Gender : *      
Date of Birth : *
Nationality : *
Blood Group :
Complete Address of Residence : *
Pincode/ Zipcode : *
Country : *
Mobile No : *
E-mail ID : *
PARENT/ GUARDIAN EMERGENCY INFORMATION
Parent / Guardian Name : *  
Parent / Guardian Relation : *  
Parent / Guardian Mobile No :  
Parent / Guardian Email ID :  
PASSPORT DETAILS
Passport No : *
Date of Issue : *
Place of Issue : *
Issuing Country : *
Date of Expiry : *
EDUCATIONAL DETAILS
Examination Passed Year of Passing Class / Division of Marks or Grade % age of Marks or Grade Name of School/ College/ Institution/ University Subjects / Paper Offered
High School /Higher Sec.  *
Sr.School Certificate / Intermediate or equivalent
Bachelor's Degree
Master's Degree
M.Phil.
Any other examination
Please indicate Pattern of Education and the country from where you have qualified the last examination
(For example: In India: High School Certificate in 10 years + Sr. School Certificate in 2 yeas + Bachelor Degree in 3 years + Master Degree in 2 years)
Intended Subjects/Majors at St. Xavier's College
Medical History/Medications/Allergies
Dietary Restrictions and Food Dislikes
Please list your objectives for this program. What activities do you like to participate in? Which cultural activities would you find exciting? What are your hobbies and interests?

1. Upload a copy of your Official Transcript/Marks (PDF/JPEG)  *
(if multiple documents / files, please upload in .zip / .rar file)
2. Upload a copy of your Passport ID page/s (PDF/JPEG)  *
(if multiple documents / files, please upload in .zip / .rar file)
3. Upload a copy of your Current Photo (JPEG)  *
4. Upload a copy of your Signature For ID Card (JPEG)  *



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