Sudhamam, North Paravur, Ernakulam, Kerala
Student Name *
Student E-mail *
Student DOB
Gender Male Female Others
Nationality
Mobile Number
Alternative Mobile Number
Aadhar Card Number *
Father's Name
Mother's Name
Residential Address
Address
City
State
Country
Pincode
Communication Address
ACADEMIC INFORMATION
X Std Examination details
Institution Studied
Board
Total % or CGP
Year of Passing
XII Std Examination Details
Attach SSLC - First Page
Attach SSLC - Marklist
PDC/Plus2 - Marklist
Attach Aadhar Card front page
Attach Aadhar Card detail page
Attach Photo
By submitting, I agree that all info entered was done accurately & truthfully.