etlab | PG Student Registration for Academic Year 2023

Style:

Personal Details

Name *

Gender *

Blood Group

Date of Birth *

Mother Tongue

Place of Birth

Nationality

Religion *

Caste *

Category

Eligible Reservation Category

PWBD (Person With Benchmark Disability)

Creamy Layer

APL/BPL

Aadhar No *

Whether OEC

Admission Details

Admission for *

Academic Year *

Kannur University Online Application Number

Programs Opted at SN College(Preference should be given as per Kannur University online aaplication)

Program Opted *

Index Mark

Preference 2

Index Mark

Preference 3

Index Mark

Preference 4

Index Mark

Preference 5

Index Mark

Preference 6

Index Mark

Preference 7

Index Mark

Type

Nativity

Qualification

Graduation Details

University

Year of admission

Program

Year of passing

Register No

Mark/Grade

No of appearances

Common Course I

Subject

Credit

OGPA

Common Course II

Subject

Credit

OGPA

Core Course

Subject

Credit

OGPA

Complementary Course I

Subject

Credit

OGPA

Complementary Course II

Subject

Credit

OGPA

Open Course

Subject

Credit

OGPA

Secondary School Details

Board

Year

Reg No

TC Details

Last College

TC No

TC Date

Contact Details

Present Address

House Name *

Street *

Post / Street 2 *

District *

Pin *

State *

Permanent Address [ same as present address ]

House Name *

Street *

Post / Street 2 *

District *

Pin *

State *

Student Phone No *

Email *

Land Phone

Personal Marks for identification

Personal Marks 1

Personal Marks 2

Hostel Facilities (Only for girls)

Do you need Hostel Facilities

NoYes

Other Details

NCC CADET IN COLLEGE LEVEL

NSS VOLUNTEER IN COLLEGE LEVEL

NCC Level

Ex-servicemen

Sports

Parent Details

Father's Name *

Mother's Name *

Father's Occupation

Mother's Occupation

Father's \ Guardian's Mobile No *

Mother's Mobile No

Parent Email

Phone Office

Select Guardian

Annual Income

Name of Guardian

Relationship with the student

Address of Guardian

Guardian's No

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Passport Size Photo

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Image crop / resize tool

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Signature

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Upload Parent's Signature

Parent Signature

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Upload Documents

SSLC Certificate

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+2 Certificate

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Degree Certificate

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Degree Consolidated Mark List

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