HOME Registration Form

Personal Details
Date Of Birth dd/mm/yyyyAge Sex
Religion Caste
Nativity(Place of Birth)
Entrance examination Details
Exam Roll No RANK MARK
State Exam RANK (Ayurveda)
Details of Matriculation examination
a)Name of School
b)Reg. Number Month Year
Details of Qualifying examination passed
a)Name of the examination
d)Number of chance availed
Month /Year Register No
f)Total % Grade
g)Percentage of marks secured
           Physics %
           Chemistry %
           Biology %
Name of the institution last attended
TC No & Date Date
Other Details (SSLC Book Details)
a) Name of Parent or Guardian
    b) Relationship
    c) Occupation Annual income
    d) House Name
    e) Post
    f) Street / District eg : kottakkal / Malappuram
    g) Pin  
Details for Communication          . same as above
    a) House Name
    b) Post
    c) Street / District
    d) Pin  
Phone No: [Parent]
Mobile No Mother Parent/Father
Mobile No[Student]
Email ID Parent
e-mail Id: [Student]
Blood Group
Aadhaar No
Please Submit Following Documents in Original at the time of Admission

► SSLC Certificate,Plus Two Certificate & Mark List

► Transfer Certificate and Conduct Certificate

► NEET Admit Card ,Allotment Memo,Mark Data Sheet and Fee receipt

► Community/Cast Certificate

► Fitness Certificate in the relevant format givein in Annexure XVII(b) of the prospectus

►Migration Certificate ( Only for those who have passed Plus two Examination from other state baords)

►Any Other Certificate (please specify)