Sudhamam, North Paravur, Ernakulam, Kerala

Student Name *

Student E-mail *

Student DOB

Gender

Nationality

Mobile Number

Alternative Mobile Number

Aadhar Card Number *

Father's Name

Mother's Name

Residential Address

Address

City

State

Country

Pincode

Communication Address

Address

City

State

Country

Pincode

ACADEMIC INFORMATION

X Std Examination details

Institution Studied

Board

Total % or CGP

Year of Passing

XII Std Examination Details

Institution Studied

Board

Total % or CGP

Year of Passing

Attach SSLC - First Page

Attach SSLC - Marklist

PDC/Plus2 - Marklist

Attach Aadhar Card front page

Attach Aadhar Card detail page

Attach Photo

Attach Payment Receipt

By submitting, I agree that all info entered was done accurately & truthfully.