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Calicut
Ernakulam
Malappuram
Vatakara

Personal Details

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Photo *
Father's Name *
Sex *
Nationality *
Address for communication *
Pincode *
Permanent Address
  Same as above    
Date of Birth *
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Caste *
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Course Details

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Select Medium of study *(Selected language implies respective study material.)

Select Second Language

Scheme of Study *(If selected "Oral", weekend classes will be mandatory. )

Postal    Oral

College/School last attended *(As per highest qualification TC held.)

Examination Passed *(As per the eligibility criteria.)

Employment if any *

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   I certify that the statements made by me are true and complete to the best of my knowledge and belief. I understand that any false statements or misconduct on my part may provide grounds for the cancellation to my studentship at any time. I agreed to pay University fee according to your instructions and I am fully aware of the facts that the fee once paid will not be refunded on any account.
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