Campus*Suite

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Student Admission Registration Form

Registration Number*

Course*

College*

Personal Details

Title*

Name (as on sslc certificate)*

Date Of Birth*

Age*

Gender*

Category*

Religion*

Caste*

Blood group

Mobile Number*

Email Address*

Nativity*

Admission Quota*

Permanent Registration No.*

Council*

Qualifying Exam Details

Registration/Roll Number*

Month&Year*

University/Board/Institution*

Physics Mark*

Chemistry Mark*

Biology Mark*

Total Mark(PCB)*

Max Mark(PCB)*

English Mark*

Max Mark(English)*

parent/Guardian Details

Name of Parent or Guardian*

Occupation

Guardian/Parent Contact Number*

Permanent Address Of Student

House Name*

Post office*

Street/District*

Pincode*

Communication Address Same As Permanent Address

House Name*

Post office*

Street/District*

Pincode*

Internship Details

Period From*

Period To*

Address of Institution*

P G Qualifying Exam Details

Name*

Register Number*

University/Board/Institution*

Month&Year*

Marks(%)*

Grade*

Whether possessing additional diploma (if so, give details)

Name

Registration No.

Year

Marks(%)

Grade

University/Board

Entrance Exam Details

Name Of Entrance Exam*

Rank(NEET)*

NEET UG Roll Number*

Year*

Rank(Kerala)*

Rank(India)*

Marks*

Total Marks*

Percentage*

Percentile*

Upload Photo(Passport size)*

Disclaimer

Any action you take upon the information you find on this website (Campus*Suite), is strictly at your own risk. Campus*Suite will not be liable for any losses and/or damages in connection with the use of our website.

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