BA/BFA/Diploma (Ayurveda)ADMISSION REGISTRATION 2017

* Indicate mandatory Fields

Stream*  
Name of Centre *  
Course applied for *
(Maximum 3 options)
Name of Student*  
Upload Photo*
(JPG format only,File size less than 50 kb)
Date Of Birth* Age
Gender* Male Female  
Nationality*  
Religion*  
Whether eligible for Reservation*
Yes No  
Community*  
Caste*  
Sub Caste  
Whether eligible for any Special Reservation *
(If Yes indicate category)
Yes No  
PH BLIND
NCC(active participant / ordinary service) NSS(active participant / ordinary service)
SPORTS(National/State/University/others) ARTS(Kalathilakam /Kalaprathibha)
BPL in FC  
Name of Father  
Occupation  
Annual Income *  
Communication Address * (Special charecters[!@#$%^&*.,etc] not allowed.)
Permanent Address * (Special charecters[!@#$%^&*.,etc] not allowed.) Same as above  
Mobile Number *  
Email Id * A value is required.Invalid format.   Reg.ID and Password will send to this email id.
QUALIFICATION
Qualification possessed for admission to the course*
College/Institution last attended for the HSE /VHSE Course*
EXAMINATION DETAILS *
Name of Exam Subject Name of Institution University/
Board
Register Number Month Of passing Year Of passing
12th/VHSE
Parts/Practical/Theory with subject (Plus Two) Max Marks Grade/Marks secured %of Marks Month of Passing Year of Passing No. of Chance
  Part I-
 Part II-
Part III-
    If Sanskrit(in Part III)
TOTAL(Part I+Part II+Part III)
Specify the language under Part II-
APPLICATION FEE DETAILS
Amount*
Fee Payment Method * DD Challan
DD/Chalan Number*
Date*
Name of Bank*
Branch Name of Bank*
Additional Information if any (Special charecters[!@#$%^&*.,etc] not allowed.)
List of Enclosures (Special charecters[!@#$%^&*.,etc] not allowed.)
Enter the contents of Image*

   

-----------------------Declaration----------------------

I here by declare that all the statements made in this application are true ,complete and correct to best of my knowledge and belief.
I understand that in the event of any information being found false or incorrect ,my candidature for admission is liable to be cancelled.
NB:- Students can choose one additional language viz Hindi, Malayalam,Sanskrit, Urdu, subject to avaialability of faculty in the respective centres.
Attested Copies Of Certificates to prove age/caste/community and qualification should be enclosed along with DD.