CAMPUSMAN

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ENTER REFERENCE NO. *

ENTER DATE OF BIRTH *

FIRST NAME *

MIDDLE NAME

LAST NAME

GENDER *

DATE OF BIRTH *

BLOOD GROUP

CATEGORY

RELIGION*

NATIONALITY*

CASTE *

CASTE CATEGORY *

AADHAR

Present Address

HOUSE NAME *

STREET *

LANDMARK

DISTRICT *

PIN *

STATE *

Permanent Address [ same as present address ]

HOUSE NAME *

STREET *

LANDMARK

DISTRICT *

PIN *

STATE *

MOBILE NUMBER *

CONTACT EMAIL-ID

Father Details

NAME *

QUALIFICATIONS

DESIGNATION

OFFICIAL ADDRESS

BLOOD GROUP

MOBILE NO

EMAIL-ID

RESIDENTIAL ADDRESS

Mother Details

NAME *

QUALIFICATIONS

DESIGNATION

OFFICIAL ADDRESS

BLOOD GROUP

MOBILE NO

EMAIL-ID

RESIDENTIAL ADDRESS

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Admission Details

GRADE *

ACADEMIC YEAR APPLIED FOR *

Option 1

Option Subjects

Option 2

Option Subjects

Option 3

Option Subjects

Option 4

Option Subjects

Option 5

Option Subjects

Details of the Qualifying Examination

BOARD

EXAMINATION

YEAR OF PASSING

MEDIUM

Board Exam Marks

ENGLISH

MATHS

MALAYALAM

HINDI

SCIENCE

SOCIAL SCIENCE

CGPA

SCHOOL NAME

ADDRESS

PHONE NO

WEBSITE

BOARD

MEDIUM

REASON FOR WITHDRAWAL

IXTH REGISTRATION NO

IDENTIFICATION MARK 1

IDENTIFICATION MARK 2

Transport Details

BUS BOARDING POINT

Hostel Admission ( Available only to outstation applicants)

HOSTEL ADMISSION( AVAILABLE ONLY TO OUTSTATION APPLICANTS)

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PHOTO *

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BIRTH CERTIFICATE *

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MARKLIST OF PREVIOUS YEAR

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PASSPORT

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10TH MARKSHEET

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IXTH REGISTRATION CARD

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NRI Students should upload their passport copy

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