Registration form
Email Address *
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Full Name *
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Home address in Kerala *
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Mobile Phone *
Enter 10 digits only ; If you stay outside India, enter your mobile number in Residence No. / Other Contact No.
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School Passing Out Year (Class 12) *
Academic Stream in Class *
Graduation (Course & Name of Institute)
e.g B.Com, Rajagiri Collage , Kalamassery ,Kerala
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Further Studies after graduation (if any)
(Please mention all the courses with institutes' name)
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Current Organisation
e.g. TCS ; If your are Housewife, Freelancer, etc, mention it like that
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Four number combination enter *
e.g. 2425 /1111/6898/9999
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